SIDNEY DAVID MACHEFSKY 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

SIDNEY

Middle

DAVID

Last Name

MACHEFSKY

Suffix

Business Name

SIDNEY DAVID MACHEFSKY MD

Original Issue Date

04/21/1982

Effective Date

04/21/1982

Expiration Date

07/31/2005

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011