MATTHEW COLBURN MONTGOMERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

COLBURN

Last Name

MONTGOMERY

Business Name

MATTHEW COLBURN MONTGOMERY MD

Original Issue Date

05/27/2020

Effective Date

05/27/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023