MATTHEW EDWARD HALVERSTADT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

EDWARD

Last Name

HALVERSTADT

Business Name

MATTHEW EDWARD HALVERSTADT MD

Original Issue Date

04/26/2012

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023