VELMA E MATA - Physician Assistant License in Missouri | # 085002144

VELMA E MATA

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002144

License Status

INACTIVE

Business

N

First Name

VELMA

Middle

E

Last Name

MATA

Business Name

VELMA E MATA

Original Issue Date

10/22/2003

Effective Date

12/14/2007

Expiration Date

03/01/2010

State

MO

Ever Disciplined

N

LastModifiedDate

02/11/2010