RICHARD CHARLES MATHER III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

CHARLES

Last Name

MATHER

Suffix

III

Business Name

RICHARD CHARLES MATHER III MD

Original Issue Date

05/04/2010

Effective Date

05/04/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011