HUGO MATHIESEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032435

License Status

NOT RENEWED

Business

First Name

HUGO

Last Name

MATHIESEN

Suffix

Business Name

HUGO MATHIESEN MD

Original Issue Date

11/12/1953

Effective Date

11/12/1953

Expiration Date

07/31/1999

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006