ANTONIO SONGCO DIMALANTA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054230

License Status

INACTIVE

Business

First Name

ANTONIO SONGCO

Last Name

DIMALANTA

Suffix

Business Name

ANTONIO SONGCO DIMALANTA MD

Original Issue Date

03/11/1977

Effective Date

03/11/1977

Expiration Date

07/31/1987

City

SPRINGFIELD

State

Zip

65804

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006