JOSEPH N MANGIARDI Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****07

License Status

ACTIVE

Business

First Name

JOSEPH N

Last Name

MANGIARDI

Business Name

JOSEPH N MANGIARDI

Original Issue Date

05/16/1996

Effective Date

01/08/2026

Expiration Date

03/31/2028

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026