MATTHEW AUGUST ODENWALD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165750

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

AUGUST

Last Name

ODENWALD

Business Name

MATTHEW AUGUST ODENWALD MD

Original Issue Date

07/06/2023

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

06/12/2023