FAY PEMA V BAGARINAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107093

License Status

NOT RENEWED

Business

First Name

FAY PEMA

Middle

Last Name

BAGARINAO

Suffix

Business Name

FAY PEMA V BAGARINAO MD

Original Issue Date

06/04/2002

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/01/2017