MATTHEW WARREN SQUIRE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

WARREN

Last Name

SQUIRE

Business Name

MATTHEW WARREN SQUIRE MD

Original Issue Date

01/25/2022

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023