JOHN ANTHONY MATTINGLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

Title

First Name

JOHN ANTHONY

Last Name

MATTINGLY

Business Name

JOHN ANTHONY MATTINGLY MD

Original Issue Date

10/20/1997

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017