MATTHEW JULIAN MANDELL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

JULIAN

Last Name

MANDELL

Business Name

MATTHEW JULIAN MANDELL DO

Original Issue Date

08/06/2019

Effective Date

08/06/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021