GENY AUGUSTINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174874

License Status

ACTIVE

Business

Title

First Name

GENY

Last Name

AUGUSTINE

Business Name

GENY AUGUSTINE MD

Original Issue Date

05/06/2025

Effective Date

05/06/2025

Expiration Date

07/31/2026

City

PEORIA

State

Zip

85382

Ever Disciplined

LastModifiedDate

05/06/2025