SAMUEL P MATHEW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

SAMUEL P

Last Name

MATHEW

Suffix

Business Name

SAMUEL P MATHEW MD

Original Issue Date

02/09/1983

Effective Date

08/25/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/25/2023