MATTHEW JOHN HEGEWALD DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061386

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

JOHN

Last Name

HEGEWALD

Business Name

MATTHEW JOHN HEGEWALD DO

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/07/2013