CAMILLA KAY BAUMAN MATTHEWS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

CAMILLA

Middle

KAY BAUMAN

Last Name

MATTHEWS

Business Name

CAMILLA KAY BAUMAN MATTHEWS MD

Original Issue Date

03/09/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

53711

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023