KENNETH JEFFREY MATTEONI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

JEFFREY

Last Name

MATTEONI

Suffix

Business Name

KENNETH JEFFREY MATTEONI MD

Original Issue Date

07/06/1998

Effective Date

07/06/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006