MATTHEW D COLLARD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

COLLARD

Business Name

MATTHEW D COLLARD

Original Issue Date

04/11/2007

Effective Date

04/11/2007

Expiration Date

07/31/2008

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/06/2008