GREG W MATTINGLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095259

License Status

NOT RENEWED

Business

First Name

GREG W

Last Name

MATTINGLY

Suffix

Business Name

GREG W MATTINGLY MD

Original Issue Date

04/04/1997

Effective Date

04/04/1997

Expiration Date

07/31/1999

City

ST CHARLES

State

Zip

63301

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006