RUPERTO D MAYUGA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

RUPERTO D

Last Name

MAYUGA

Business Name

RUPERTO D MAYUGA

Original Issue Date

10/14/1987

Effective Date

07/09/2020

Expiration Date

07/31/2023

City

DARIEN

State

Zip

60561

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023