License Directory

Kevin Dale Mangum

Active

California license A212117

License

Licensed by
Medical Board of California
License number
A212117
Status
Active (Current)
First issued
September 22, 2026
Expires
November 30, 2028
License holder
Kevin Dale Mangum
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Washtenaw County