SUJA M MATHEW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

First Name

SUJA

Middle

Last Name

MATHEW

Suffix

Business Name

SUJA M MATHEW MD

Original Issue Date

03/21/2000

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023