ANDREW JACOB MATRICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

JACOB

Last Name

MATRICK

Business Name

ANDREW JACOB MATRICK MD

Original Issue Date

07/14/2020

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023