MATTHEW JOSEPH WODZIAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059632

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

JOSEPH

Last Name

WODZIAK

Business Name

MATTHEW JOSEPH WODZIAK MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2013

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/27/2011