License holder summary

Dr. CHARLES adley MANGHAM Jr is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. CHARLES adley MANGHAM Jr is 109 N ASPEN DR HAILEY ID 83333. This licensed professional license is current. The license was granted 11/18/2013 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. CHARLES adley MANGHAM Jr
Board Of Medicine
License number
M-12224
Date granted
11/18/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
109 N ASPEN DR HAILEY ID 83333
idaholicensing.com
ID 48351034
LAST UPDATED 2024-03-15 12:16:36 UTC

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