VIVEK MANGLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103689

License Status

NOT RENEWED

Business

First Name

VIVEK

Last Name

MANGLA

Suffix

Business Name

VIVEK MANGLA MD

Original Issue Date

10/23/2000

Effective Date

10/23/2000

Expiration Date

07/31/2002

City

HAMDEN

State

Zip

06514

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

08/10/2012