TED ANDREW MATZEN 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

First Name

TED

Middle

ANDREW

Last Name

MATZEN

Suffix

Business Name

TED ANDREW MATZEN MD

Original Issue Date

08/02/2004

Effective Date

08/02/2004

Expiration Date

07/31/2008

City

WINFIELD

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008