EULA GERALYN P TETANGCO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001279

License Status

EXPIRED

Business

Title

First Name

EULA GERALYN

Middle

Last Name

TETANGCO

Business Name

EULA GERALYN P TETANGCO MD

Original Issue Date

03/01/2019

Effective Date

03/01/2019

Expiration Date

03/31/2019

City

AUGUSTA

State

Zip

30912

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

07/18/2019