TIFFANY CHI MATEO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064515

License Status

CANCELLED

Business

Title

First Name

TIFFANY

Middle

CHI

Last Name

MATEO

Business Name

TIFFANY CHI MATEO MD

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

06/24/2017

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/04/2014