ERWIN ZETA MANGUBAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125709

License Status

NOT RENEWED

Business

Title

First Name

ERWIN

Middle

ZETA

Last Name

MANGUBAT

Business Name

ERWIN ZETA MANGUBAT MD

Original Issue Date

05/07/2010

Effective Date

04/29/2014

Expiration Date

07/31/2017

City

SEATTLE

State

Zip

98109

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

11/01/2017