JOSE GABRIELLE MATIAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075507

License Status

CANCELLED

Business

Title

First Name

JOSE GABRIELLE

Last Name

MATIAS

Business Name

JOSE GABRIELLE MATIAS MD

Original Issue Date

06/22/2020

Effective Date

06/22/2020

Expiration Date

06/21/2023

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/03/2020