SUNIL N MATIWALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

Title

First Name

SUNIL N

Last Name

MATIWALA

Business Name

SUNIL N MATIWALA MD

Original Issue Date

06/04/2007

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023