EFRAIM PANGANIBAN DAVID MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028284

License Status

EXPIRED

Business

First Name

EFRAIM

Middle

PANGANIBAN

Last Name

DAVID

Suffix

Business Name

EFRAIM PANGANIBAN DAVID MD

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

06/30/1995

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006