AGUSTIN A G CABALLERO MONGE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027122

License Status

EXPIRED

Business

First Name

AGUSTIN A

Middle

Last Name

CABALLERO MONGE

Business Name

AGUSTIN A G CABALLERO MONGE

Original Issue Date

06/10/1991

Effective Date

06/10/1991

Expiration Date

06/30/1994

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006