License Directory

Robert Dylan Mangrum

Inactive

Illinois license 085001757

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
085001757
Status
Inactive
First issued
January 24, 2002
Expired
March 1, 2006
License holder
Robert Dylan Mangrum
Entity type
Individual

Classifications

More from the license record

Current term began
01/24/2002

Other Illinois licenses under this name

  • IL
    Robert Dylan Mangrum
    License 38*****89
    Physician Assistant Controlled Substance
    Expired
    Belleville, IL
    Expired Mar 1, 2006

Contact

Crestwood, MO 63126
Missouri County