THOMAS ADELIO MATTIONI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

ADELIO

Last Name

MATTIONI

Suffix

Business Name

THOMAS ADELIO MATTIONI MD

Original Issue Date

07/22/1982

Effective Date

07/22/1982

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020