RICHARD B MANGAN OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****19

License Status

INACTIVE

Business

First Name

RICHARD B

Last Name

MANGAN

Suffix

Business Name

RICHARD B MANGAN OD

Original Issue Date

06/13/1996

Expiration Date

03/31/1998

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/02/2005