THEODORE JOHN MATUGA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042587

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

JOHN

Last Name

MATUGA

Suffix

Business Name

THEODORE JOHN MATUGA MD

Original Issue Date

07/01/1969

Effective Date

07/08/2014

Expiration Date

07/31/2017

City

BLOOMINGTON

State

Zip

55425

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/01/2017