RYAN JAMES MATTISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

JAMES

Last Name

MATTISON

Suffix

Business Name

RYAN JAMES MATTISON MD

Original Issue Date

07/24/2006

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

MADISON

State

Zip

53705

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017