TAMARA ROCHELLE MANGAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036177825

License Status

ACTIVE

Business

Title

First Name

TAMARA

Middle

ROCHELLE

Last Name

MANGAL

Business Name

TAMARA ROCHELLE MANGAL MD

Original Issue Date

11/09/2025

Effective Date

11/09/2025

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

Ever Disciplined

LastModifiedDate

11/09/2025