EMERSON MANALANG RAZA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056769

License Status

EXPIRED

Business

Title

First Name

EMERSON

Middle

MANALANG

Last Name

RAZA

Business Name

EMERSON MANALANG RAZA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

08/29/2012