RYAN JAMES MATTISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115970

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

JAMES

Last Name

MATTISON

Suffix

Business Name

RYAN JAMES MATTISON MD

Original Issue Date

05/18/2006

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

MADISON

State

Zip

53705

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017