BYRON OSWALDO MATA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117456

License Status

INACTIVE

Business

First Name

BYRON

Middle

OSWALDO

Last Name

MATA

Business Name

BYRON OSWALDO MATA

Original Issue Date

01/12/2007

Effective Date

01/12/2007

Expiration Date

07/31/2008

City

TUSCALOOSA

State

Zip

35405

Ever Disciplined

LastModifiedDate

04/17/2008