MATTHEW JOSEPH CAVALLERO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

JOSEPH

Last Name

CAVALLERO

Business Name

MATTHEW JOSEPH CAVALLERO MD

Original Issue Date

06/24/2016

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60618

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021