MATTHEW WILLIAM SHORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

WILLIAM

Last Name

SHORE

Business Name

MATTHEW WILLIAM SHORE MD

Original Issue Date

09/17/2019

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

FITCHBURG

State

Zip

53711

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023