JOHN ANTHONY MATTINGLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096843

License Status

ACTIVE

Business

Title

First Name

JOHN ANTHONY

Last Name

MATTINGLY

Business Name

JOHN ANTHONY MATTINGLY MD

Original Issue Date

10/15/1997

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63131

Ever Disciplined

LastModifiedDate

07/07/2023