MATTHEW THOMAS DESTEFANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146359

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

THOMAS

Last Name

DESTEFANI

Business Name

MATTHEW THOMAS DESTEFANI MD

Original Issue Date

06/05/2018

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023