BROOKE MATZ DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080088

License Status

CANCELLED

Business

Title

First Name

BROOKE

Last Name

MATZ

Prefix

Business Name

BROOKE MATZ DO

Original Issue Date

06/25/2022

Effective Date

06/25/2022

Expiration Date

06/24/2025

City

BARTLETT

State

Zip

60103

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/24/2024