E ANTONIO MANGUBAT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086569

License Status

INACTIVE

Business

First Name

E ANTONIO

Last Name

MANGUBAT

Suffix

Business Name

E ANTONIO MANGUBAT MD

Original Issue Date

06/22/1993

Effective Date

06/22/1993

Expiration Date

07/31/1999

City

TUKWILA

State

Zip

98188

County

WASHINGTON

Ever Disciplined

LastModifiedDate

11/20/2008