LIRIO BL UMENGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053090

License Status

NOT RENEWED

Business

First Name

LIRIO BL

Last Name

UMENGAN

Suffix

Business Name

LIRIO BL UMENGAN MD

Original Issue Date

07/15/1976

Effective Date

07/15/1976

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006