SOPHIA SUZANNA MATOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079351

License Status

ACTIVE

Business

Title

First Name

SOPHIA

Middle

SUZANNA

Last Name

MATOS

Business Name

SOPHIA SUZANNA MATOS MD

Original Issue Date

06/26/2025

Effective Date

06/26/2025

Expiration Date

06/25/2027

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

03/13/2025