JOELLE M MENGANG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057988

License Status

CANCELLED

Business

Title

First Name

JOELLE

Middle

Last Name

MENGANG

Business Name

JOELLE M MENGANG MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/20/2010