RICHARD B MANGAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018457

License Status

NOT RENEWED

Business

First Name

RICHARD B

Last Name

MANGAN

Suffix

Business Name

RICHARD B MANGAN OD

Original Issue Date

07/22/1996

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005