CALI C MATHENY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000290

License Status

EXPIRED

Business

First Name

CALI

Middle

Last Name

MATHENY

Business Name

CALI C MATHENY

Original Issue Date

08/22/1995

Effective Date

08/22/1995

Expiration Date

02/22/1996

City

EAST ST LOUIS

State

Zip

62201

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/02/2013