MATTHEW THOMAS SANTA BARBARA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071679

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

THOMAS

Last Name

SANTA BARBARA

Business Name

MATTHEW THOMAS SANTA BARBARA MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Sports Medicine (PM&R)

Ever Disciplined

LastModifiedDate

10/02/2019