MATTHEW TAYLOR HEFTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

TAYLOR

Last Name

HEFTY

Business Name

MATTHEW TAYLOR HEFTY MD

Original Issue Date

10/24/2018

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023