PRIYAL MANGROLA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

ACTIVE

Business

Title

DMD

First Name

PRIYAL

Last Name

MANGROLA

Business Name

PRIYAL MANGROLA DMD

Original Issue Date

03/09/2021

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/11/2024