ERWIN ZETA MANGUBAT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052889

License Status

EXPIRED

Business

Title

First Name

ERWIN

Middle

ZETA

Last Name

MANGUBAT

Business Name

ERWIN ZETA MANGUBAT MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

07/08/2010