MICHAEL E MATLAK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042741

License Status

INACTIVE

Business

First Name

MICHAEL E

Last Name

MATLAK

Suffix

Business Name

MICHAEL E MATLAK MD

Original Issue Date

08/08/1969

Effective Date

08/08/1969

Expiration Date

07/31/1987

City

SALT LAKE CITY

State

Zip

84124

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006