GARY W MATRAVERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088412

License Status

NOT RENEWED

Business

First Name

GARY W

Last Name

MATRAVERS

Suffix

Business Name

GARY W MATRAVERS MD

Original Issue Date

05/13/1994

Effective Date

05/13/1994

Expiration Date

07/31/1996

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006