GAIL ARIE MATTOX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

GAIL ARIE

Last Name

MATTOX

Suffix

Business Name

GAIL ARIE MATTOX MD

Original Issue Date

05/12/1982

Effective Date

05/12/1982

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006