E J MANGLINONG JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

CANCELLED

Business

First Name

E J

Last Name

MANGLINONG JR

Suffix

Business Name

E J MANGLINONG JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006