TERESITA LASCANO MISMANOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

TERESITA LASCANO

Last Name

MISMANOS

Suffix

Business Name

TERESITA LASCANO MISMANOS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020