TERESITA LASCANO MISMANOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

TERESITA LASCANO

Last Name

MISMANOS

Suffix

Business Name

TERESITA LASCANO MISMANOS MD

Original Issue Date

07/01/1992

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

06/23/2023