GREGORY MANGANTULAO MACAGBA OD - Optometrist License in Illinois | # 046011210

GREGORY MANGANTULAO MACAGBA OD

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011210

License Status

ACTIVE

Business

N

Title

OD

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/16/2026