RAYMUNDO P PUNZALAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

RAYMUNDO P

Last Name

PUNZALAN

Business Name

RAYMUNDO P PUNZALAN

Original Issue Date

06/10/1988

Effective Date

06/10/1988

Expiration Date

07/31/1996

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006