MATTHEW MARK HARKENRIDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

MARK

Last Name

HARKENRIDER

Business Name

MATTHEW MARK HARKENRIDER MD

Original Issue Date

08/15/2012

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023