MATTHEW ERIC ULVEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

CANCELLED

Business

First Name

MATTHEW ERIC

Last Name

ULVEN

Suffix

Business Name

MATTHEW ERIC ULVEN MD

Original Issue Date

04/11/1997

Effective Date

04/11/1997

Expiration Date

07/31/2005

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006