KATHLEEN MARY POWELL MATTIOLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163299

License Status

ACTIVE

Business

Title

First Name

KATHLEEN

Middle

MARY

Last Name

POWELL MATTIOLI

Business Name

KATHLEEN MARY POWELL MATTIOLI MD

Original Issue Date

12/30/2022

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

WAUKESHA

State

Zip

53189

Ever Disciplined

LastModifiedDate

11/26/2025