Diosdado P Momongan

Name

Diosdado P Momongan

Year of birth

1941

Source

USA - Health and Human Services List of Excluded Individuals and Entities

Aliases

Diosdado P Momongan

Privacy Request

Additional Information

General: MEDICAL PRACTICE, MD

Specialty: GENERAL PRACTICE

Address: 2250 CASTILIAN CIRCLE

City: NORTHBROOK

State: IL

Zip code: 60062

Exclusion type: License revocation, suspension, or surrender. Minimum Period: Period imposed by the state licensing authority. (Social Security Act: 1128(b)(4), 42 USC §: 1320a-7(b)(4))

Exclusion date: 2006-01-20


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