TESSIE THOMAS MATHEW DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

Title

First Name

TESSIE

Middle

THOMAS

Last Name

MATHEW

Business Name

TESSIE THOMAS MATHEW DO

Original Issue Date

05/24/2013

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023