ALICE CECILY MATHEW DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

Title

First Name

ALICE

Middle

CECILY

Last Name

MATHEW

Business Name

ALICE CECILY MATHEW DO

Original Issue Date

11/15/2019

Effective Date

11/15/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021