JENNIFER L MANGINO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116954

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

MANGINO

Business Name

JENNIFER L MANGINO

Original Issue Date

10/02/2006

Effective Date

05/27/2008

Expiration Date

07/31/2011

City

PHILADELPHIA

State

Zip

19146

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

04/07/2011