CYNTHIA PEREZ MANGUBAT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

CYNTHIA

Middle

PEREZ

Last Name

MANGUBAT

Business Name

CYNTHIA PEREZ MANGUBAT MD

Original Issue Date

10/27/2020

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023