ROSA UBILLUZ BANGHART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045150

License Status

NOT RENEWED

Business

First Name

ROSA UBILLUZ

Last Name

BANGHART

Suffix

Business Name

ROSA UBILLUZ BANGHART MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/2005

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

10/09/2006