AMRUTHA E MATHEW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067065

License Status

EXPIRED

Business

First Name

AMRUTHA

Middle

Last Name

MATHEW

Suffix

Business Name

AMRUTHA E MATHEW MD

Original Issue Date

06/22/2015

Effective Date

06/22/2015

Expiration Date

06/21/2018

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/25/2018