JENNIFER LYNNE MATCZAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051253

License Status

EXPIRED

Business

Title

First Name

JENNIFER

Middle

LYNNE

Last Name

MATCZAK

Business Name

JENNIFER LYNNE MATCZAK MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/15/2009