SUSAN AGUILA MANGAHAS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

SUSAN AGUILA

Last Name

MANGAHAS

Business Name

SUSAN AGUILA MANGAHAS

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

07/31/2002

City

ASSUMPTION

State

Zip

62510

County

CHRISTIAN

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

04/05/2020