MICHAEL L MANGURTEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

MICHAEL L

Last Name

MANGURTEN

Suffix

Business Name

MICHAEL L MANGURTEN MD

Original Issue Date

01/01/1997

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023