EDMUND B MANGAHAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

EDMUND

Middle

Last Name

MANGAHAS

Suffix

Business Name

EDMUND B MANGAHAS MD

Original Issue Date

04/29/2002

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023