MATT L MALTERS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

MATT

Middle

Last Name

MALTERS

Business Name

MATT L MALTERS

Original Issue Date

08/23/2006

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

LONG GROVE

State

Zip

60060

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023