CHRISTIAN BERNARD BUMANGLAG AGBISIT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152576

License Status

NOT RENEWED

Business

Title

First Name

CHRISTIAN BERNARD

Middle

BUMANGLAG

Last Name

AGBISIT

Business Name

CHRISTIAN BERNARD BUMANGLAG AGBISIT MD

Original Issue Date

04/15/2020

Effective Date

04/15/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/30/2023