E J MANGLINONG JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045102

License Status

INACTIVE

Business

First Name

E J

Last Name

MANGLINONG JR

Suffix

Business Name

E J MANGLINONG JR MD

Original Issue Date

01/12/1972

Effective Date

01/12/1972

Expiration Date

07/31/2005

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006