ANACECILIA G DIMALALUAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095042

License Status

NOT RENEWED

Business

First Name

ANACECILIA

Middle

Last Name

DIMALALUAN

Suffix

Business Name

ANACECILIA G DIMALALUAN MD

Original Issue Date

03/13/1997

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

GLENDALE

State

Zip

53209

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017