JOSE V MANSUETO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042069

License Status

NOT RENEWED

Business

First Name

JOSE V

Last Name

MANSUETO

Suffix

Business Name

JOSE V MANSUETO MD

Original Issue Date

08/01/1968

Effective Date

08/01/1968

Expiration Date

07/31/1990

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006