MATTHEW JONATHAN MELAMED MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

JONATHAN

Last Name

MELAMED

Business Name

MATTHEW JONATHAN MELAMED MD

Original Issue Date

06/14/2018

Effective Date

05/22/2023

Expiration Date

07/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/22/2023