LUIS M MANGUBAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045282

License Status

NOT RENEWED

Business

First Name

LUIS M

Last Name

MANGUBAT

Suffix

Business Name

LUIS M MANGUBAT MD

Original Issue Date

02/04/1972

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017