MAVERICK MANGOSING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080513

License Status

ACTIVE

Business

Title

First Name

MAVERICK

Last Name

MANGOSING

Business Name

MAVERICK MANGOSING MD

Original Issue Date

06/22/2025

Effective Date

06/22/2025

Expiration Date

06/21/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

03/19/2025