MYLENE G MANGAHAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030641

License Status

EXPIRED

Business

First Name

MYLENE

Middle

Last Name

MANGAHAS

Suffix

Business Name

MYLENE G MANGAHAS MD

Original Issue Date

07/13/1993

Effective Date

07/13/1993

Expiration Date

07/12/1996

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

04/02/2007