DANIEL THOMAS MATTSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111157

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

THOMAS

Last Name

MATTSON

Suffix

Business Name

DANIEL THOMAS MATTSON MD

Original Issue Date

04/07/2004

Effective Date

06/09/2011

Expiration Date

07/31/2014

City

BRIDGETON

State

Zip

63044

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014