DOUGLAS JAMES MATHISEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066099

License Status

NOT RENEWED

Business

First Name

DOUGLAS JAMES

Last Name

MATHISEN

Suffix

Business Name

DOUGLAS JAMES MATHISEN MD

Original Issue Date

02/22/1983

Effective Date

02/22/1983

Expiration Date

07/31/1987

City

ARLINGTON

State

Zip

02174

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/08/2011