MATTHEW R ANDERSEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

Last Name

ANDERSEN

Business Name

MATTHEW R ANDERSEN

Original Issue Date

07/14/2006

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023