JASON JOHN TANGUAY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

JASON

Middle

JOHN

Last Name

TANGUAY

Suffix

Business Name

JASON JOHN TANGUAY DO

Original Issue Date

08/10/2007

Effective Date

05/27/2011

Expiration Date

07/31/2014

City

FPO

State

Zip

96362

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014