MATTHEW BENJAMIN SPRAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

BENJAMIN

Last Name

SPRAKER

Suffix

Business Name

MATTHEW BENJAMIN SPRAKER MD

Original Issue Date

08/28/2018

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023