MATTHEW RYAN ECKERMANN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

RYAN

Last Name

ECKERMANN

Business Name

MATTHEW RYAN ECKERMANN

Original Issue Date

12/10/2010

Effective Date

12/10/2010

Expiration Date

07/31/2011

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011