RITA M MANGIONE-SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

RITA M

Last Name

MANGIONE-SMITH

Suffix

Business Name

RITA M MANGIONE-SMITH MD

Original Issue Date

06/30/1993

Effective Date

06/30/1993

Expiration Date

07/31/1996

City

SPARTA

State

Zip

62286

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006