SWARNA MATSA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

SWARNA

Last Name

MATSA

Business Name

SWARNA MATSA MD

Original Issue Date

09/17/2012

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023