MATTHEW TODD VANDERWOUDE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032567

License Status

EXPIRED

Business

First Name

MATTHEW TODD

Last Name

VANDERWOUDE

Suffix

Business Name

MATTHEW TODD VANDERWOUDE DO

Original Issue Date

05/17/1995

Effective Date

05/17/1995

Expiration Date

06/20/1998

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006