MATTHEW J MARTINSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

INOPERATIVE

Business

First Name

MATTHEW

Middle

Last Name

MARTINSON

Business Name

MATTHEW J MARTINSON

Original Issue Date

08/20/2010

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2018