SHAYNA A. H. MANCUSO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112082

License Status

ACTIVE

Business

First Name

SHAYNA

Middle

A. H.

Last Name

MANCUSO

Suffix

Business Name

SHAYNA A. H. MANCUSO DO

Original Issue Date

08/10/2004

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

07/29/2023