SAMUEL P MATHEW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013376

License Status

EXPIRED

Business

First Name

SAMUEL P

Last Name

MATHEW

Suffix

Business Name

SAMUEL P MATHEW MD

Original Issue Date

07/24/1981

Effective Date

07/24/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006