MATTHEW A FACKTOR - Medical Doctor License in District of Columbia | # 036100039

MATTHEW A FACKTOR

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100039

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

A

Last Name

FACKTOR

Business Name

MATTHEW A FACKTOR

Original Issue Date

04/16/1999

Effective Date

04/16/1999

Expiration Date

07/31/2002

State

DC

Ever Disciplined

N

LastModifiedDate

10/09/2006