MATTHEW SMALL AGRITELLEY MD - Medical Doctor License in Illinois | # 125080534

MATTHEW SMALL AGRITELLEY MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080534

License Status

ACTIVE

Business

N

Title

MD

First Name

MATTHEW

Middle

SMALL

Last Name

AGRITELLEY

Business Name

MATTHEW SMALL AGRITELLEY MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2027

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

03/25/2025