MATTHEW RICHARD KLEIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065187

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

RICHARD

Last Name

KLEIN

Business Name

MATTHEW RICHARD KLEIN MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

06/22/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

02/09/2017