TIFFANY CHI MATEO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

TIFFANY

Middle

CHI

Last Name

MATEO

Business Name

TIFFANY CHI MATEO MD

Original Issue Date

03/09/2017

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023