EDWIN WESLEY MANGRAM II DDS - Dentist License in Illinois | # 019025445

EDWIN WESLEY MANGRAM II DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025445

License Status

ACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/02/2024