ANNAMMA V MATHEW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

ANNAMMA V

Last Name

MATHEW

Suffix

Business Name

ANNAMMA V MATHEW MD

Original Issue Date

06/10/1993

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023