MICHAEL GEORGE NELLAMATTATHIL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

GEORGE

Last Name

NELLAMATTATHIL

Business Name

MICHAEL GEORGE NELLAMATTATHIL DO

Original Issue Date

05/06/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023