Robert Dylan Mangrum
ExpiredIllinois license 38*****89
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****89
- Status
- Expired (Not Renewed)
- First issued
- February 25, 2002
- Expired
- March 1, 2006
- License holder
- Robert Dylan Mangrum
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 02/25/2002
Other Illinois licenses under this name
-
IL
InactiveCrestwood, MOExpired Mar 1, 2006
Contact
Belleville, IL 62226
Saint Clair County