MATTHEW JAMES ROOT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

JAMES

Last Name

ROOT

Business Name

MATTHEW JAMES ROOT MD

Original Issue Date

08/11/2021

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

SHOREWOOD

State

Zip

60404

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023