EDELINO L MACATANGAY MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****94

NOT RENEWED

N

EDELINO L

MACATANGAY

MD

EDELINO L MACATANGAY MD

01/01/1997

09/01/1982

MARION

IL

62959

WILLIAMSON

II III IV V

N

09/26/2006