DIOSDADO P MOMONGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045290

License Status

NOT RENEWED

Business

First Name

DIOSDADO P

Last Name

MOMONGAN

Suffix

Business Name

DIOSDADO P MOMONGAN MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/2005

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

2001009058

Action

Suspension

Discipline Start Date

03/11/2004

Discipline Reason

Failed to complete a board ordered mental and physical examination.