MATTHEW CHARLES SCANLON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

MATTHEW CHARLES

Last Name

SCANLON

Suffix

Business Name

MATTHEW CHARLES SCANLON MD

Original Issue Date

01/05/1995

Effective Date

01/05/1995

Expiration Date

07/31/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006