MURILLO V MANGUBAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047986

License Status

NOT RENEWED

Business

First Name

MURILLO V

Last Name

MANGUBAT

Suffix

Business Name

MURILLO V MANGUBAT MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

City

PHILADEPHIA

State

Zip

19143

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006