FREDERICK JERRY MATTKA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012013

License Status

NOT RENEWED

Business

First Name

FREDERICK JERRY

Last Name

MATTKA

Suffix

DDS

Business Name

FREDERICK JERRY MATTKA DDS

Original Issue Date

12/08/1961

Effective Date

12/08/1961

City

LAFAYETTE

State

Zip

94549

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005