BENJAMIN MANGAOA SY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054797

License Status

NOT RENEWED

Business

First Name

BENJAMIN MANGAOA

Last Name

Suffix

Business Name

BENJAMIN MANGAOA SY MD

Original Issue Date

06/30/1977

Effective Date

06/30/1977

Expiration Date

07/31/1990

City

SAVANNA

State

Zip

61074

County

CARROLL

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1989000750

Action

Fine

Discipline Start Date

11/22/1989