CLODUALDO ALISANGCO GAMEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103497

License Status

NOT RENEWED

Business

First Name

CLODUALDO

Middle

ALISANGCO

Last Name

GAMEZ

Suffix

Business Name

CLODUALDO ALISANGCO GAMEZ MD

Original Issue Date

09/19/2000

Effective Date

09/19/2000

Expiration Date

07/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

03/27/2007

Case Number

2005007639

Action

Refuse To Renew

Discipline Start Date

05/09/2006

Discipline Reason

Sister state discipline.