TERESITA LASCANO MISMANOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056215

License Status

ACTIVE

Business

First Name

TERESITA LASCANO

Last Name

MISMANOS

Suffix

Business Name

TERESITA LASCANO MISMANOS MD

Original Issue Date

12/16/1977

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

06/23/2023