ZACHARY LENDALL MATTICE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086791

License Status

ACTIVE

Business

Title

First Name

ZACHARY

Middle

LENDALL

Last Name

MATTICE

Business Name

ZACHARY LENDALL MATTICE MD

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

06/23/2028

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/16/2025