JOEY MELISSA MANCUSO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058242

License Status

EXPIRED

Business

First Name

JOEY

Middle

MELISSA

Last Name

MANCUSO

Suffix

Business Name

JOEY MELISSA MANCUSO DO

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

10/07/2013