LAURE GRACE DEMATTIA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173093

License Status

ACTIVE

Business

Title

First Name

LAURE

Middle

GRACE

Last Name

DEMATTIA

Business Name

LAURE GRACE DEMATTIA DO

Original Issue Date

12/18/2024

Effective Date

12/18/2024

Expiration Date

07/31/2026

City

GRAND RAPIDS

State

Zip

49546

Ever Disciplined

LastModifiedDate

12/18/2024