SIDDHARTH MATTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

SIDDHARTH

Last Name

MATTA

Business Name

SIDDHARTH MATTA MD

Original Issue Date

12/11/2024

Effective Date

12/11/2024

Expiration Date

07/31/2026

City

NORTH CHICAGO

State

Zip

60064

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/11/2024