LARRY C MATSUMOTO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

LARRY C

Last Name

MATSUMOTO

Suffix

Business Name

LARRY C MATSUMOTO MD

Original Issue Date

07/26/1995

Effective Date

07/26/1995

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006