EDMUND B MANGAHAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033989

License Status

EXPIRED

Business

First Name

EDMUND

Middle

Last Name

MANGAHAS

Suffix

Business Name

EDMUND B MANGAHAS MD

Original Issue Date

01/10/1996

Effective Date

01/10/1996

Expiration Date

02/05/2000

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006