NICHOLAS RYAN MATHENIA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

RYAN

Last Name

MATHENIA

Business Name

NICHOLAS RYAN MATHENIA DO

Original Issue Date

05/28/2014

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023