MARYGENE P CUYUGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

Title

First Name

MARYGENE

Middle

Last Name

CUYUGAN

Business Name

MARYGENE P CUYUGAN MD

Original Issue Date

11/10/2010

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

FORSYTH

State

Zip

62535

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017