AILEEN AGSALUD ABESAMIS Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

CANCELLED

Business

First Name

AILEEN

Middle

AGSALUD

Last Name

ABESAMIS

Business Name

AILEEN AGSALUD ABESAMIS

Original Issue Date

07/15/2008

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

04/07/2011