DOUGLAS JAMES MATHISEN MD - Medical Doctor License in Massachusetts | # 036066099

DOUGLAS JAMES MATHISEN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066099

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS JAMES

Last Name

MATHISEN

Suffix

MD

Business Name

DOUGLAS JAMES MATHISEN MD

Original Issue Date

02/22/1983

Effective Date

02/22/1983

Expiration Date

07/31/1987

State

MA

Ever Disciplined

N

LastModifiedDate

09/08/2011