JON S MATSUMURA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

JON

Middle

Last Name

MATSUMURA

Suffix

Business Name

JON S MATSUMURA MD

Original Issue Date

04/17/1991

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023