MATTHEW COLIN BIRNHOLZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050952

License Status

CANCELLED

Business

First Name

MATTHEW

Middle

COLIN

Last Name

BIRNHOLZ

Suffix

Business Name

MATTHEW COLIN BIRNHOLZ MD

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

06/18/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006