RODERICK L MATTICKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

RODERICK

Middle

Last Name

MATTICKS

Suffix

Business Name

RODERICK L MATTICKS MD

Original Issue Date

07/25/1990

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

LINCOLN

State

Zip

62656

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023