ANACECILIA G DIMALALUAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

ANACECILIA

Middle

Last Name

DIMALALUAN

Suffix

Business Name

ANACECILIA G DIMALALUAN MD

Original Issue Date

09/28/2000

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

GLENDALE

State

Zip

53209

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017