KATRINA ANDREA MATTINGLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

Title

First Name

KATRINA

Middle

ANDREA

Last Name

MATTINGLY

Business Name

KATRINA ANDREA MATTINGLY MD

Original Issue Date

11/18/2020

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023