MATTHEW OLIVER WALDRON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

OLIVER

Last Name

WALDRON

Business Name

MATTHEW OLIVER WALDRON MD

Original Issue Date

02/18/2015

Effective Date

02/18/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017