License holder summary

ELMER ANTONIO MANGUBAT is a Board Of Medicine licensed to practice in Idaho. The address on file for ELMER ANTONIO MANGUBAT is 16400 SOUTHCENTER PKWY STE 101 TUKWILA WA 98188. This licensed professional license is current. The license was granted 01/02/2009 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

ELMER ANTONIO MANGUBAT
Board Of Medicine
License number
M-10558
Date granted
01/02/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
16400 SOUTHCENTER PKWY STE 101 TUKWILA WA 98188
idaholicensing.com
ID 48338293
LAST UPDATED 2024-04-27 08:15:07 UTC

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