SIDNEY L MATHEIS JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

SIDNEY

Middle

Last Name

MATHEIS JR

Business Name

SIDNEY L MATHEIS JR

Original Issue Date

11/23/1998

Effective Date

11/23/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006