MATTHEW TODD VANDERWOUDE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096175

License Status

NOT RENEWED

Business

First Name

MATTHEW TODD

Last Name

VANDERWOUDE

Suffix

Business Name

MATTHEW TODD VANDERWOUDE DO

Original Issue Date

07/24/1997

Effective Date

07/24/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

12/26/2012