MOLLY MATHEW MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049584

License Status

INACTIVE

Business

First Name

MOLLY

Last Name

MATHEW

Suffix

Business Name

MOLLY MATHEW MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

Expiration Date

07/31/1987

City

PORTLAND

State

Zip

97221

County

OREGON

Ever Disciplined

LastModifiedDate

09/20/2006