JOHN FRANCIS MATISTA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002434

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

FRANCIS

Last Name

MATISTA

Business Name

JOHN FRANCIS MATISTA

Original Issue Date

12/10/2004

Effective Date

12/10/2004

Expiration Date

03/01/2006

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/09/2006