SUSAN AGUILA MANGAHAS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

SUSAN AGUILA

Last Name

MANGAHAS

Business Name

SUSAN AGUILA MANGAHAS

Original Issue Date

02/26/1993

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

HANOVER PARK

State

Zip

60133

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023