ELIZABETH NICOLE MANCUSO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165352

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Middle

NICOLE

Last Name

MANCUSO

Business Name

ELIZABETH NICOLE MANCUSO MD

Original Issue Date

06/21/2023

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

06/08/2023