KATRINA ANDREA MATTINGLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

Title

First Name

KATRINA

Middle

ANDREA

Last Name

MATTINGLY

Business Name

KATRINA ANDREA MATTINGLY MD

Original Issue Date

10/17/2022

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

WILLOWBROOK

State

Zip

60527

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023