MATTHEW AUGUST ODENWALD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

AUGUST

Last Name

ODENWALD

Business Name

MATTHEW AUGUST ODENWALD MD

Original Issue Date

07/15/2023

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/08/2023