MATTHEW WILLIAM BOYLAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055803

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

WILLIAM

Last Name

BOYLAN

Business Name

MATTHEW WILLIAM BOYLAN MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/01/2009