MATTHEW K GENTILE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081790

License Status

NOT RENEWED

Business

First Name

MATTHEW K

Last Name

GENTILE

Business Name

MATTHEW K GENTILE

Original Issue Date

11/03/1990

Effective Date

11/03/1990

Expiration Date

07/31/2005

City

MANITOWOC

State

Zip

54221

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006