MATTHEW PATRICK TODD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002327

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

PATRICK

Last Name

TODD

Business Name

MATTHEW PATRICK TODD

Original Issue Date

09/10/2004

Effective Date

09/10/2004

Expiration Date

03/01/2006

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006