RODERICK L MATTICKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080098

License Status

ACTIVE

Business

First Name

RODERICK

Middle

Last Name

MATTICKS

Suffix

Business Name

RODERICK L MATTICKS MD

Original Issue Date

06/20/1990

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

COTTLEVILLE

State

Zip

63304

Ever Disciplined

LastModifiedDate

04/26/2023

Case Number

1993003864

Action

Probation

Discipline Start Date

10/24/1994

Discipline End Date

07/08/2002

Discipline Reason

Pleading guilty to a charge of public indecency. The conditions of his probation were modified by an order dated 9/27/99.