CARMELITA MANGILIT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044621

License Status

NOT RENEWED

Business

First Name

CARMELITA

Last Name

MANGILIT

Suffix

Business Name

CARMELITA MANGILIT MD

Original Issue Date

08/09/1971

Effective Date

08/09/1971

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006