GREGORY MANGANTULAO MACAGBA OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011210

License Status

ACTIVE

Business

Title

First Name

GREGORY

Middle

MANGANTULAO

Last Name

MACAGBA

Business Name

GREGORY MANGANTULAO MACAGBA OD

Original Issue Date

07/13/2018

Effective Date

02/16/2026

Expiration Date

03/31/2028

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

02/16/2026