MATTHEW DOUGLAS EVANS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

DOUGLAS

Last Name

EVANS

Business Name

MATTHEW DOUGLAS EVANS MD

Original Issue Date

05/20/2021

Effective Date

05/20/2021

Expiration Date

07/31/2023

City

MESA

State

Zip

85207

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023