The holder whose full name is OMENGAN, IGNACIO UY,come from Rockford IL,hold the Physician license(NO.01049695A) which status is Expired Non-Renewable.
| Name | OMENGAN, IGNACIO UY |
|---|---|
| License Number | 01049695A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Rockford |
| State | IL |