MICHAEL MANCANO - Podiatrist License in Illinois | # 135001148

MICHAEL MANCANO

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001148

License Status

CANCELLED

Business

N

First Name

MICHAEL

Last Name

MANCANO

Business Name

MICHAEL MANCANO

Original Issue Date

06/02/2022

Effective Date

06/25/2022

Expiration Date

06/24/2025

State

IL

Ever Disciplined

N

LastModifiedDate

06/01/2022