EYOAB MATHEWOS MASSEBO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

EYOAB

Middle

MATHEWOS

Last Name

MASSEBO

Business Name

EYOAB MATHEWOS MASSEBO MD

Original Issue Date

08/27/2025

Effective Date

08/27/2025

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2025