MICHAEL S MUGOSA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104535

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

Last Name

MUGOSA

Suffix

Business Name

MICHAEL S MUGOSA MD

Original Issue Date

04/13/2001

Effective Date

04/13/2001

Expiration Date

07/31/2005

City

LAMAR

State

Zip

64759

Ever Disciplined

LastModifiedDate

08/13/2007