THEODORE JOHN MATUGA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

JOHN

Last Name

MATUGA

Suffix

Business Name

THEODORE JOHN MATUGA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017