MATA HILGESON FLOM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040449

License Status

INACTIVE

Business

First Name

MATA HILGESON

Last Name

FLOM

Suffix

Business Name

MATA HILGESON FLOM MD

Original Issue Date

07/05/1966

Effective Date

07/05/1966

Expiration Date

07/31/1990

City

PHOENIX

State

Zip

85018

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006