MATTHEW MAX LOCKWOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

MAX

Last Name

LOCKWOOD

Business Name

MATTHEW MAX LOCKWOOD MD

Original Issue Date

09/19/2020

Effective Date

09/19/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023