PAUL L MANGANELLI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

PAUL

Middle

Last Name

MANGANELLI

Business Name

PAUL L MANGANELLI

Original Issue Date

01/31/2011

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023