GUILLERMO ALBERTO DE ANGULO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

GUILLERMO

Middle

ALBERTO

Last Name

DE ANGULO

Business Name

GUILLERMO ALBERTO DE ANGULO MD

Original Issue Date

10/22/2015

Effective Date

10/22/2015

Expiration Date

07/31/2017

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017