AELAMPLASERIL O MATHEW Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

AELAMPLASERIL O

Last Name

MATHEW

Business Name

AELAMPLASERIL O MATHEW

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

QUINCY

State

Zip

62305

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008