License holder summary

J. ROBERT MANGUM is a Board Of Medicine licensed to practice in Idaho. The address on file for J. ROBERT MANGUM is 1907 W Flamingo Ave #114 Nampa ID 83651. This licensed professional license is not current. The license was granted 04/01/1940.

Idaho

Division of Occupational and Professional Licenses

J. ROBERT MANGUM
Board Of Medicine
License number
M-1630
Date granted
04/01/1940
Class
Board Of Medicine
Status
Deceased
Address
1907 W Flamingo Ave #114 Nampa ID 83651
idaholicensing.com
ID 48352095
LAST UPDATED 2024-04-23 10:03:18 UTC

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