MICHAEL L MANGURTEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057443

License Status

ACTIVE

Business

First Name

MICHAEL L

Last Name

MANGURTEN

Suffix

Business Name

MICHAEL L MANGURTEN MD

Original Issue Date

08/21/1978

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

06/09/2023