MATTHEW JOSEPH RUDOLPH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072211

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

JOSEPH

Last Name

RUDOLPH

Business Name

MATTHEW JOSEPH RUDOLPH MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

OAK PARK

State

Zip

60302

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/21/2018