JOHN W MATSESHE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

JOHN W

Last Name

MATSESHE

Suffix

Business Name

JOHN W MATSESHE MD

Original Issue Date

01/27/2011

Effective Date

05/29/2014

Expiration Date

07/31/2017

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020