ROLAND BALUYOT MAWIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045433

License Status

EXPIRED

Business

First Name

ROLAND

Middle

BALUYOT

Last Name

MAWIS

Suffix

Business Name

ROLAND BALUYOT MAWIS MD

Original Issue Date

09/09/2002

Effective Date

09/09/2002

Expiration Date

09/08/2005

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006