EDGARDO GUEVARRA MAYUGA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053682

License Status

INACTIVE

Business

First Name

EDGARDO GUEVARRA

Last Name

MAYUGA

Suffix

Business Name

EDGARDO GUEVARRA MAYUGA MD

Original Issue Date

09/17/1976

Effective Date

09/17/1976

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006