MALCOLM ROYCE MATHIAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

MALCOLM ROYCE

Last Name

MATHIAS

Suffix

Business Name

MALCOLM ROYCE MATHIAS MD

Original Issue Date

01/01/1997

Effective Date

07/07/2011

Expiration Date

07/31/2014

City

BLUE MOUND

State

Zip

62513

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014