RAM MANOHAR MATSA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077193

License Status

EXPIRED

Business

Title

First Name

RAM

Middle

MANOHAR

Last Name

MATSA

Business Name

RAM MANOHAR MATSA MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/30/2024