BASIL MANGRA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023911

License Status

EXPIRED

Business

First Name

BASIL

Last Name

MANGRA

Suffix

Business Name

BASIL MANGRA MD

Original Issue Date

05/23/1989

Effective Date

05/23/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006