SHAUN K MATHEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

SHAUN

Middle

Last Name

MATHEN

Suffix

Business Name

SHAUN K MATHEN DO

Original Issue Date

08/23/2007

Effective Date

06/11/2023

Expiration Date

07/31/2026

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/11/2023