ANTHONY MATTIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088447

License Status

INACTIVE

Business

First Name

ANTHONY

Last Name

MATTIS

Suffix

Business Name

ANTHONY MATTIS MD

Original Issue Date

05/23/1994

Effective Date

05/23/1994

Expiration Date

07/31/1996

City

BLACK RIVER

State

Zip

13612

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006