MATTHEW THOMAS GENCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153662

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

THOMAS

Last Name

GENCO

Business Name

MATTHEW THOMAS GENCO MD

Original Issue Date

07/10/2020

Effective Date

07/10/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

Ever Disciplined

LastModifiedDate

11/30/2023