MICHAEL J MASTRANGELO JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028742

License Status

EXPIRED

Business

First Name

MICHAEL J

Last Name

MASTRANGELO JR

Suffix

Business Name

MICHAEL J MASTRANGELO JR MD

Original Issue Date

06/15/1992

Effective Date

06/15/1992

Expiration Date

06/30/1997

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006