FAUSTINO VIRATA PUGEDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045635

License Status

NOT RENEWED

Business

Title

First Name

FAUSTINO

Middle

VIRATA

Last Name

PUGEDA

Business Name

FAUSTINO VIRATA PUGEDA MD

Original Issue Date

04/27/1972

Effective Date

07/10/2020

Expiration Date

07/31/2023

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/30/2023