MATTHEW THOMAS CERASALE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

THOMAS

Last Name

CERASALE

Business Name

MATTHEW THOMAS CERASALE MD

Original Issue Date

03/14/2017

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023