RAFAEL ANTONIO TEIXERA MALTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082546

License Status

ACTIVE

Business

Title

First Name

RAFAEL

Middle

ANTONIO

Last Name

TEIXERA MALTA

Business Name

RAFAEL ANTONIO TEIXERA MALTA MD

Original Issue Date

06/23/2023

Effective Date

06/23/2023

Expiration Date

06/22/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology - Anatomic and Clinical

Ever Disciplined

LastModifiedDate

05/16/2023