MICHAEL E MATLAK MD - Medical Doctor License in Utah | # 036042741

MICHAEL E MATLAK MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042741

License Status

INACTIVE

Business

N

First Name

MICHAEL E

Last Name

MATLAK

Suffix

MD

Business Name

MICHAEL E MATLAK MD

Original Issue Date

08/08/1969

Effective Date

08/08/1969

Expiration Date

07/31/1987

State

UT

Ever Disciplined

N

LastModifiedDate

09/20/2006