MATTHEW THOMAS DESTEFANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

THOMAS

Last Name

DESTEFANI

Business Name

MATTHEW THOMAS DESTEFANI MD

Original Issue Date

06/05/2018

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023