MICHAEL LEROY MATTESON - Physician Assistant License in Virginia | # 085001557

MICHAEL LEROY MATTESON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001557

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

LEROY

Last Name

MATTESON

Business Name

MICHAEL LEROY MATTESON

Original Issue Date

02/07/2001

Effective Date

12/21/2011

Expiration Date

03/01/2014

State

VA

Ever Disciplined

N

LastModifiedDate

04/08/2014