DAVID M MATUSIAK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

DAVID M

Last Name

MATUSIAK

Suffix

Business Name

DAVID M MATUSIAK DO

Original Issue Date

03/30/1989

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023