MATTHEW JOSEPH RUDOLPH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

JOSEPH

Last Name

RUDOLPH

Business Name

MATTHEW JOSEPH RUDOLPH MD

Original Issue Date

05/12/2021

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

FOREST PARK

State

Zip

60130

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023