MATTHEW JAMES ANDERSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049300

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

JAMES

Last Name

ANDERSON

Business Name

MATTHEW JAMES ANDERSON MD

Original Issue Date

06/22/2005

Effective Date

06/22/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006