LANCE LINUS MADANGUIT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086040

License Status

ACTIVE

Business

Title

First Name

LANCE

Middle

LINUS

Last Name

MADANGUIT

Business Name

LANCE LINUS MADANGUIT MD

Original Issue Date

06/26/2025

Effective Date

06/26/2025

Expiration Date

06/25/2028

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/17/2025