MATTHEW DAVID AMIDON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064656

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

DAVID

Last Name

AMIDON

Business Name

MATTHEW DAVID AMIDON DO

Original Issue Date

06/26/2014

Effective Date

06/26/2014

Expiration Date

06/25/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/19/2017