CYNTHIA I MATA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

CYNTHIA

Middle

Last Name

MATA

Business Name

CYNTHIA I MATA

Original Issue Date

08/28/2001

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

ADDISON

State

Zip

60101

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2023