MATTHEW MICHAEL EGANHOUSE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074707

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

MICHAEL

Last Name

EGANHOUSE

Business Name

MATTHEW MICHAEL EGANHOUSE MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/14/2019