KRYSTAL MANGULABNAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016288

License Status

ACTIVE

Business

First Name

KRYSTAL

Last Name

MANGULABNAN

Business Name

KRYSTAL MANGULABNAN

Original Issue Date

08/10/2018

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2024