DEEPA MATHEW JOSEPH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

DEEPA

Middle

MATHEW

Last Name

JOSEPH

Business Name

DEEPA MATHEW JOSEPH MD

Original Issue Date

11/14/2008

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

DARIEN

State

Zip

60561

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023