MATTHEW NICHOLAS PIETERS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072877

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

NICHOLAS

Last Name

PIETERS

Business Name

MATTHEW NICHOLAS PIETERS MD

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2019

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/02/2019