Velma E Mata
InactiveIllinois license 085002144
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085002144
- Status
- Inactive
- First issued
- October 22, 2003
- Expired
- March 1, 2010
- License holder
- Velma E Mata
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 12/14/2007
Contact
Saint Louis, MO 63128