JAMES MANGANO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

JAMES

Last Name

MANGANO

Business Name

JAMES MANGANO DO

Original Issue Date

11/29/2022

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

ELLICOTTVILLE

State

Zip

14731

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023