Ingerlisa Wenche Mattoch
ExpiredCalifornia license A92191
License
- Licensed by
- Medical Board of California
- License number
- A92191
- Status
- Expired (Delinquent)
- First issued
- July 16, 2005
- Expired
- December 31, 2022
- License holder
- Ingerlisa Wenche Mattoch
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
3633 Little Dipper Dr
Fort Collins, CO 80528-4448
Fort Collins, CO 80528-4448
Larimer County