MATTHEW A FACKTOR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100039

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

FACKTOR

Business Name

MATTHEW A FACKTOR

Original Issue Date

04/16/1999

Effective Date

04/16/1999

Expiration Date

07/31/2002

City

WASHINGTON

State

Zip

20008

County

DISTRICT OF COLUMBIA

Ever Disciplined

LastModifiedDate

10/09/2006