MATILDA M MENGIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090045

License Status

INACTIVE

Business

First Name

MATILDA M

Last Name

MENGIS

Suffix

Business Name

MATILDA M MENGIS MD

Original Issue Date

12/21/1994

Effective Date

12/21/1994

Expiration Date

07/31/1996

City

SAUSALITO

State

Zip

94965

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006