LIZAR ACE A MANGIO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081959

License Status

ACTIVE

Business

Title

First Name

LIZAR ACE

Middle

Last Name

MANGIO

Business Name

LIZAR ACE A MANGIO DO

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

ROCKFORD

State

Zip

61103

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/25/2023