KATHERINE D MATTA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114213

License Status

INACTIVE

Business

First Name

KATHERINE

Middle

Last Name

MATTA

Business Name

KATHERINE D MATTA

Original Issue Date

07/19/2005

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

NEWTON

State

Zip

02458

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

04/08/2014

Case Number

2011006067

Action

Reprimand

Discipline Start Date

03/27/2013

Discipline Reason

because of the failure to make a timely report to the Department of a suspension of her gynecological surgical privileges by Loyola Medical Center.