ANTHONY MATTIS MD - Medical Doctor License in New York | # 036088447

ANTHONY MATTIS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088447

License Status

INACTIVE

Business

N

First Name

ANTHONY

Last Name

MATTIS

Suffix

MD

Business Name

ANTHONY MATTIS MD

Original Issue Date

05/23/1994

Effective Date

05/23/1994

Expiration Date

07/31/1996

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006