CARL-MANGUS JOSEF WAHLGREN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048874

License Status

EXPIRED

Business

First Name

CARL-MANGUS

Middle

JOSEF

Last Name

WAHLGREN

Business Name

CARL-MANGUS JOSEF WAHLGREN

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Vascular Surgery

Ever Disciplined

LastModifiedDate

07/03/2007