SAMUEL L MACAGBA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059682

License Status

NOT RENEWED

Business

Title

First Name

SAMUEL L

Last Name

MACAGBA

Suffix

Business Name

SAMUEL L MACAGBA JR MD

Original Issue Date

10/26/1979

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

11/01/2017