MARIO D MANSUETO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036029597

License Status

NOT RENEWED

Business

First Name

MARIO D

Last Name

MANSUETO

Suffix

Business Name

MARIO D MANSUETO MD

Original Issue Date

09/15/1949

Effective Date

09/15/1949

Expiration Date

07/31/1990

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006