DENISE A PINE MATTAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

DENISE

Middle

A PINE

Last Name

MATTAS

Suffix

Business Name

DENISE A PINE MATTAS MD

Original Issue Date

09/01/2005

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

MARSHALL

State

Zip

62441

County

CLARK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023