EDILBERTO F MAGLASANG MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****67

NOT RENEWED

N

EDILBERTO F

MAGLASANG

MD

EDILBERTO F MAGLASANG MD

01/01/1997

07/31/1999

COLUMBIA

IL

62236

MONROE

II III IV V

Y

03/24/2007

1995005824

Suspension

09/08/1999

Failing to comply with the terms of a previously ordered probation.