MATT CESAR SLENDEBROEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

MATT

Middle

CESAR

Last Name

SLENDEBROEK

Suffix

Business Name

MATT CESAR SLENDEBROEK MD

Original Issue Date

04/21/2009

Effective Date

07/14/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014