Fidel Mata

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085002235

Status

Active

First issued

April 7, 2004

Expires

March 1, 2028

License holder

Fidel Mata

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

12/04/2025

Other Illinois licenses under this name

• IL
  Fidel Mata

  License 38*****17

  Physician Assistant Controlled Substance
  Active

  Decatur, IL

  Expires Mar 1, 2028

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