MATTHEW DAVID SWAYZE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

DAVID

Last Name

SWAYZE

Business Name

MATTHEW DAVID SWAYZE DO

Original Issue Date

11/14/2016

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023