LUCAS TARABAL DA MATTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075728

License Status

CANCELLED

Business

Title

First Name

LUCAS

Last Name

TARABAL DA MATTA

Business Name

LUCAS TARABAL DA MATTA MD

Original Issue Date

09/01/2021

Effective Date

09/01/2021

Expiration Date

08/31/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

03/11/2021