MATTHEW CHARLES KLEINMAIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

CHARLES

Last Name

KLEINMAIER

Suffix

Business Name

MATTHEW CHARLES KLEINMAIER MD

Original Issue Date

08/20/2010

Effective Date

07/16/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/01/2017