JAMES MATTHEW WANTUCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Middle

MATTHEW

Last Name

WANTUCK

Business Name

JAMES MATTHEW WANTUCK MD

Original Issue Date

10/28/2021

Effective Date

10/28/2021

Expiration Date

07/31/2023

City

SAN FRANCISCO

State

Zip

94105

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023