License holder summary

MARINA MATA is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for MARINA MATA is Ann Arbor MI 48109. This medical practitioner license is not current. The license was granted 01/23/1996 and expired on 12/31/2006.

Department of State

Board of Medicine

MARINA MATA
Medical Physician And Surgeon
License number
MD055524L
Date granted
01/23/1996
Date expires
12/31/2006
Class
Medical Physician And Surgeon
Status
Inactive
Address
Ann Arbor MI 48109
medicinepa.com
ID 37646617
LAST UPDATED 2024-04-09 12:28:30 UTC

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