MATTHEW DAVID ANDERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085952

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

DAVID

Last Name

ANDERSON

Business Name

MATTHEW DAVID ANDERSON MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

CHICAGO, IL

State

Zip

60612

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/23/2025