MATAS ORENTAS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073809

License Status

CANCELLED

Business

Title

First Name

MATAS

Last Name

ORENTAS

Business Name

MATAS ORENTAS DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/09/2019