AELAMPLASERIL O MATHEW Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044200

License Status

NOT RENEWED

Business

First Name

AELAMPLASERIL O

Last Name

MATHEW

Business Name

AELAMPLASERIL O MATHEW

Original Issue Date

04/30/1971

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

11/06/2008