LEAH WAITHIRA MUGO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055863

License Status

EXPIRED

Business

First Name

LEAH

Middle

WAITHIRA

Last Name

MUGO

Suffix

Business Name

LEAH WAITHIRA MUGO MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

07/29/2012

City

PORT ORANGE

State

Zip

32128

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012