STEPHEN JAMES MATTICHAK M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

M.D.

First Name

STEPHEN

Middle

JAMES

Last Name

MATTICHAK

Business Name

STEPHEN JAMES MATTICHAK M.D.

Original Issue Date

09/15/2025

Effective Date

09/15/2025

Expiration Date

07/31/2026

City

MIDLAND

State

Zip

48640

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/15/2025