MICHAEL T MUNGOVAN DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038005180

License Status

INACTIVE

Business

First Name

MICHAEL T

Last Name

MUNGOVAN

Suffix

Business Name

MICHAEL T MUNGOVAN DC

Original Issue Date

01/30/1984

Effective Date

01/30/1984

Expiration Date

07/31/1987

City

FORT WAYNE

State

Zip

46807

County

INDIANA

Ever Disciplined

LastModifiedDate

09/21/2006