ROLAND BALUYOT MAWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113802

License Status

NOT RENEWED

Business

First Name

ROLAND

Middle

BALUYOT

Last Name

MAWIS

Suffix

Business Name

ROLAND BALUYOT MAWIS MD

Original Issue Date

05/27/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SACRAMENTO

State

Zip

95827

Ever Disciplined

LastModifiedDate

11/06/2008