MALCOLM RODERICK MATHEWS III MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103619

License Status

INACTIVE

Business

First Name

MALCOLM

Middle

RODERICK

Last Name

MATHEWS

Suffix

III MD

Business Name

MALCOLM RODERICK MATHEWS III MD

Original Issue Date

10/06/2000

Effective Date

10/06/2000

Expiration Date

07/31/2002

City

KINGSPORT

State

Zip

37660

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/09/2006