CASTRO F MUGALLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000562

License Status

EXPIRED

Business

Title

First Name

CASTRO

Middle

Last Name

MUGALLA

Business Name

CASTRO F MUGALLA MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

12/31/2020

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

Orthopaedic Sports Medicine

Ever Disciplined

LastModifiedDate

03/11/2021