KATHERINE D MATTA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

CANCELLED

Business

First Name

KATHERINE

Middle

Last Name

MATTA

Business Name

KATHERINE D MATTA

Original Issue Date

07/25/2005

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014