NIKOLAS A MATA-MACHADO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058444

License Status

EXPIRED

Business

Title

First Name

NIKOLAS

Middle

Last Name

MATA-MACHADO

Business Name

NIKOLAS A MATA-MACHADO MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Child Neurology

Ever Disciplined

LastModifiedDate

10/07/2013