MARY JUDELINE JAVIER MINGUITO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

MARY JUDELINE

Middle

JAVIER

Last Name

MINGUITO

Suffix

Business Name

MARY JUDELINE JAVIER MINGUITO MD

Original Issue Date

04/28/2000

Effective Date

04/28/2000

Expiration Date

07/31/2002

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006