MATTHEW MAXWELL KELLOGG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043213

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

MAXWELL

Last Name

KELLOGG

Suffix

Business Name

MATTHEW MAXWELL KELLOGG MD

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006