HUMBERTO MONDUL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

CANCELLED

Business

First Name

HUMBERTO

Last Name

MONDUL

Suffix

Business Name

HUMBERTO MONDUL MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006