MATTHEW JOSEPH VENGALIL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

JOSEPH

Last Name

VENGALIL

Business Name

MATTHEW JOSEPH VENGALIL MD

Original Issue Date

02/22/2024

Effective Date

02/22/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/22/2024