TIJU K MATHEWS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

ACTIVE

Business

First Name

TIJU

Middle

Last Name

MATHEWS

Business Name

TIJU K MATHEWS

Original Issue Date

01/05/2021

Effective Date

03/16/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60634

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026