MATTHEW JAMES DORNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

JAMES

Last Name

DORNER

Business Name

MATTHEW JAMES DORNER MD

Original Issue Date

06/24/2009

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

MOULTRIE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023