MATTHEW J MATAVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109603

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

MATAVA

Suffix

Business Name

MATTHEW J MATAVA MD

Original Issue Date

06/30/2003

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHESTERFIELD

State

Zip

63017

Ever Disciplined

LastModifiedDate

11/14/2011