DENISE A PINE MATTAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000231

License Status

EXPIRED

Business

First Name

DENISE

Middle

A PINE

Last Name

MATTAS

Suffix

Business Name

DENISE A PINE MATTAS MD

Original Issue Date

06/01/2005

Effective Date

06/01/2005

Expiration Date

11/30/2005

City

MARSHALL

State

Zip

62441

County

CLARK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006