DEAN HIDEO MATSUURA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

DEAN

Middle

HIDEO

Last Name

MATSUURA

Suffix

Business Name

DEAN HIDEO MATSUURA MD

Original Issue Date

07/29/1999

Effective Date

07/29/1999

Expiration Date

07/31/2008

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008