MATTHEW S ANDERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033349

License Status

EXPIRED

Business

First Name

MATTHEW S

Last Name

ANDERSON

Business Name

MATTHEW S ANDERSON

Original Issue Date

06/13/1995

Effective Date

06/13/1995

Expiration Date

06/30/1998

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006