HUMBERTO MONDUL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040289

License Status

INACTIVE

Business

First Name

HUMBERTO

Last Name

MONDUL

Suffix

Business Name

HUMBERTO MONDUL MD

Original Issue Date

05/23/1966

Effective Date

05/23/1966

Expiration Date

07/31/2005

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/09/2006