EDWIN WESLEY MANGRAM II DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025445

License Status

ACTIVE

Business

First Name

EDWIN

Middle

WESLEY

Last Name

MANGRAM II

Suffix

DDS

Business Name

EDWIN WESLEY MANGRAM II DDS

Original Issue Date

10/20/2000

Effective Date

09/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

09/02/2024