MATTHEW JOHN EVON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

CANCELLED

Business

First Name

MATTHEW

Middle

JOHN

Last Name

EVON

Suffix

Business Name

MATTHEW JOHN EVON MD

Original Issue Date

06/18/2004

Effective Date

06/18/2004

Expiration Date

07/31/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006