MARK A MATTOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075486

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

MATTOS

Suffix

Business Name

MARK A MATTOS MD

Original Issue Date

07/18/1987

Effective Date

07/18/1987

Expiration Date

07/31/2005

City

ST CLAIR SHORES

State

Zip

48082

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/29/2015

Case Number

2007006029

Action

Refuse To Renew

Discipline Start Date

10/04/2007

Discipline End Date

12/28/2011

Discipline Reason

after being disciplined in the state of Michigan.