JIMMI MANGLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053862

License Status

CANCELLED

Business

First Name

JIMMI

Last Name

MANGLA

Suffix

Business Name

JIMMI MANGLA MD

Original Issue Date

10/01/2007

Effective Date

10/01/2007

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Adult Reconstructive Orthopedics

Ever Disciplined

LastModifiedDate

08/30/2007