SHUBHAM MANGLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001635

License Status

ACTIVE

Business

Title

First Name

SHUBHAM

Last Name

MANGLA

Business Name

SHUBHAM MANGLA MD

Original Issue Date

06/30/2025

Effective Date

06/30/2025

Expiration Date

07/29/2025

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

06/04/2025