SAMUEL L MACAGBA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

SAMUEL L

Last Name

MACAGBA

Suffix

Business Name

SAMUEL L MACAGBA JR MD

Original Issue Date

01/01/1997

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017