MATTHEW CHRISTOPHER MUSIELAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

CHRISTOPHER

Last Name

MUSIELAK

Business Name

MATTHEW CHRISTOPHER MUSIELAK MD

Original Issue Date

01/24/2019

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023