MARK A MATTOS MD - Medical Doctor License in Michigan | # 036075486

MARK A MATTOS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075486

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

A

Last Name

MATTOS

Suffix

MD

Business Name

MARK A MATTOS MD

Original Issue Date

07/18/1987

Effective Date

07/18/1987

Expiration Date

07/31/2005

State

MI

Ever Disciplined

Y

LastModifiedDate

10/29/2015

Case Number

2007006029

Action

Probation

Discipline End Date

11/17/2014

Discipline Reason

license restored to one year probation effective upon payment of fees and filing of forms.