CIBLE MATHULLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

CIBLE

Last Name

MATHULLA

Suffix

Business Name

CIBLE MATHULLA MD

Original Issue Date

09/08/2008

Effective Date

09/08/2008

Expiration Date

07/31/2011

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011