FREDERICK JERRY MATTKA DDS - Dentist License in California | # 019012013

FREDERICK JERRY MATTKA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012013

License Status

NOT RENEWED

Business

N

First Name

FREDERICK JERRY

Last Name

MATTKA

Suffix

DDS

Business Name

FREDERICK JERRY MATTKA DDS

Original Issue Date

12/08/1961

Effective Date

12/08/1961

State

CA

Ever Disciplined

N

LastModifiedDate

10/12/2005