MARLO MAGSANOC NICOLAS MD - Medical Doctor License in Texas | # 036111826

MARLO MAGSANOC NICOLAS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111826

License Status

NOT RENEWED

Business

N

First Name

MARLO

Middle

MAGSANOC

Last Name

NICOLAS

Suffix

MD

Business Name

MARLO MAGSANOC NICOLAS MD

Original Issue Date

07/12/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

TX

Ever Disciplined

N

LastModifiedDate

11/14/2011