MATTHEW B WARD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039173

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

Last Name

WARD

Business Name

MATTHEW B WARD

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/23/2003

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006