License holder summary

DOUGLAS LANE MANGUM is a Pharmacy - Pharmacist licensed to practice in Utah. The address on file for DOUGLAS LANE MANGUM is OGDEN, UT 84405. This licensed professional license is not current. The license was granted 01/01/1910 and expired on 07/02/1998.

Utah

Division of Occupational and Professional Licensing

DOUGLAS LANE MANGUM
Pharmacy - Pharmacist
License number
138109-1701
Date granted
01/01/1910
Date expires
07/02/1998
Class
Pharmacy - Pharmacist
Status
Surrendered
Address
OGDEN, UT 84405
utahlicensing.org
ID 29884510
LAST UPDATED 2024-03-20 09:13:49 UTC

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