MANUEL R AGUSTINES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047378

License Status

NOT RENEWED

Business

First Name

MANUEL R

Last Name

AGUSTINES

Suffix

Business Name

MANUEL R AGUSTINES MD

Original Issue Date

06/05/1973

Effective Date

06/05/1973

City

WARRENSVILLE HTS

State

Zip

44128

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006