JOHN ANTHONY MATTINGLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

JOHN ANTHONY

Last Name

MATTINGLY

Business Name

JOHN ANTHONY MATTINGLY MD

Original Issue Date

11/02/2022

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

BRIDGETON

State

Zip

63044

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023