DIOMEDES MATTA REMIGIO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000862

License Status

NOT RENEWED

Business

First Name

DIOMEDES MATTA

Last Name

REMIGIO

Business Name

DIOMEDES MATTA REMIGIO

Original Issue Date

01/09/1997

Effective Date

01/09/1997

Expiration Date

03/01/2000

City

DALY CITY

State

Zip

94014

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/26/2006