MATTHEW DAVID GENET MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074677

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

DAVID

Last Name

GENET

Business Name

MATTHEW DAVID GENET MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/05/2020