MARLO MAGSANOC NICOLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111826

License Status

NOT RENEWED

Business

First Name

MARLO

Middle

MAGSANOC

Last Name

NICOLAS

Suffix

Business Name

MARLO MAGSANOC NICOLAS MD

Original Issue Date

07/12/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SAN ANTONIO

State

Zip

78240

County

TEXAS

Ever Disciplined

LastModifiedDate

11/14/2011