MATHEW OOMMEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

MATHEW

Last Name

OOMMEN

Suffix

Business Name

MATHEW OOMMEN MD

Original Issue Date

09/24/1991

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021