MATTHEW MONROE WYATT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058593

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

MONROE

Last Name

WYATT

Suffix

Business Name

MATTHEW MONROE WYATT MD

Original Issue Date

07/15/2014

Effective Date

07/15/2014

Expiration Date

12/14/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/13/2015