MATTHEW JAMES LOCKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137149

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

JAMES

Last Name

LOCKER

Business Name

MATTHEW JAMES LOCKER MD

Original Issue Date

01/23/2015

Effective Date

01/23/2015

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017