ALIYAH J MANGRUM - Physician Assistant License in District of Columbia | # 085008132

ALIYAH J MANGRUM

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008132

License Status

ACTIVE

Business

N

First Name

ALIYAH

Middle

J

Last Name

MANGRUM

Business Name

ALIYAH J MANGRUM

Original Issue Date

01/15/2021

Effective Date

01/19/2026

Expiration Date

03/01/2028

State

DC

Ever Disciplined

N

LastModifiedDate

01/19/2026