E ANTONIO MANGUBAT MD - Medical Doctor License in Washington | # 036086569

E ANTONIO MANGUBAT MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086569

License Status

INACTIVE

Business

N

First Name

E ANTONIO

Last Name

MANGUBAT

Suffix

MD

Business Name

E ANTONIO MANGUBAT MD

Original Issue Date

06/22/1993

Effective Date

06/22/1993

Expiration Date

07/31/1999

State

WA

Ever Disciplined

N

LastModifiedDate

11/20/2008