MATTHEW R ANDERSEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114336

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

Last Name

ANDERSEN

Business Name

MATTHEW R ANDERSEN

Original Issue Date

08/04/2005

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2023