MATT MATHEW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

Title

First Name

MATT

Last Name

MATHEW

Business Name

MATT MATHEW MD

Original Issue Date

01/12/2021

Effective Date

01/12/2021

Expiration Date

07/31/2023

City

MEMPHIS

State

Zip

38103

County

SHELBY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023