INGERLISA WENCHE MATTOCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166783

License Status

ACTIVE

Business

Title

First Name

INGERLISA

Middle

WENCHE

Last Name

MATTOCH

Business Name

INGERLISA WENCHE MATTOCH MD

Original Issue Date

08/29/2023

Effective Date

08/29/2023

Expiration Date

07/31/2026

City

FORT COLLINS

State

Zip

80528

Ever Disciplined

LastModifiedDate

08/29/2023