SAPNA MARY GEORGE-MATTAPPALLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

Title

First Name

SAPNA

Middle

MARY

Last Name

GEORGE-MATTAPPALLY

Business Name

SAPNA MARY GEORGE-MATTAPPALLY MD

Original Issue Date

06/17/2016

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021