JOSEPH P MATHEW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

JOSEPH P

Last Name

MATHEW

Suffix

Business Name

JOSEPH P MATHEW MD

Original Issue Date

05/23/1997

Effective Date

05/23/1997

Expiration Date

07/31/1999

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006