DOUGLAS BRADFORD MANGAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042100

License Status

EXPIRED

Business

First Name

DOUGLAS

Middle

BRADFORD

Last Name

MANGAN

Suffix

Business Name

DOUGLAS BRADFORD MANGAN MD

Original Issue Date

07/26/2000

Effective Date

07/26/2000

Expiration Date

07/25/2003

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

08/27/2025