KEVIN M MATTESON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024935

License Status

EXPIRED

Business

First Name

KEVIN

Middle

Last Name

MATTESON

Business Name

KEVIN M MATTESON

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

06/30/1995

City

LIVINGSTON

State

Zip

59047

County

MONTANA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006