TATEUM LOUISE MATTINGLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076360

License Status

EXPIRED

Business

Title

First Name

TATEUM

Middle

LOUISE

Last Name

MATTINGLY

Business Name

TATEUM LOUISE MATTINGLY MD

Original Issue Date

06/23/2020

Effective Date

06/23/2020

Expiration Date

06/22/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/11/2022