CLEM JACOB MATTSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

CLEM JACOB

Last Name

MATTSON

Suffix

Business Name

CLEM JACOB MATTSON MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006