ANDREW JACOB MATRICK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072438

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

JACOB

Last Name

MATRICK

Business Name

ANDREW JACOB MATRICK MD

Original Issue Date

06/23/2018

Effective Date

06/23/2018

Expiration Date

06/22/2021

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/24/2018