MATTHEW EDWARD VANASCO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

CANCELLED

Business

First Name

MATTHEW

Middle

EDWARD

Last Name

VANASCO

Business Name

MATTHEW EDWARD VANASCO

Original Issue Date

03/04/2002

Effective Date

03/04/2002

Expiration Date

07/31/2005

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006