JOHN S MATLOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

JOHN S

Last Name

MATLOCK

Suffix

Business Name

JOHN S MATLOCK MD

Original Issue Date

09/14/1982

Effective Date

09/14/1982

Expiration Date

07/31/1984

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006