EFRAIM PANGANIBAN DAVID MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

EFRAIM

Middle

PANGANIBAN

Last Name

DAVID

Suffix

Business Name

EFRAIM PANGANIBAN DAVID MD

Original Issue Date

08/08/2002

Effective Date

07/17/2014

Expiration Date

07/31/2017

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020