MATA HILGESON FLOM MD - Medical Doctor License in Arizona | # 036040449

MATA HILGESON FLOM MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040449

License Status

INACTIVE

Business

N

First Name

MATA HILGESON

Last Name

FLOM

Suffix

MD

Business Name

MATA HILGESON FLOM MD

Original Issue Date

07/05/1966

Effective Date

07/05/1966

Expiration Date

07/31/1990

State

AZ

Ever Disciplined

N

LastModifiedDate

09/20/2006