DENISE A PINE MATTAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114511

License Status

ACTIVE

Business

First Name

DENISE

Middle

A PINE

Last Name

MATTAS

Suffix

Business Name

DENISE A PINE MATTAS MD

Original Issue Date

08/29/2005

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

MARSHALL

State

Zip

62441

County

CLARK

Ever Disciplined

LastModifiedDate

06/14/2023