PAUL MATTA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150725

License Status

NOT RENEWED

Business

Title

First Name

PAUL

Last Name

MATTA

Business Name

PAUL MATTA DO

Original Issue Date

09/11/2019

Effective Date

09/11/2019

Expiration Date

09/30/2020

City

FREEHOLD

State

Zip

07728

Ever Disciplined

LastModifiedDate

01/14/2021