ADAM C MATTHEWS DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000714

License Status

EXPIRED

Business

First Name

ADAM

Middle

Last Name

MATTHEWS

Suffix

DPM

Business Name

ADAM C MATTHEWS DPM

Original Issue Date

07/06/2010

Effective Date

06/15/2011

Expiration Date

06/14/2012

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

08/29/2012