MATTHEW SMALL AGRITELLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080534

License Status

ACTIVE

Business

Title

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

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/25/2025