ELIZABETH JOAN MANGEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009875

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

JOAN

Last Name

MANGEN

Business Name

ELIZABETH JOAN MANGEN

Original Issue Date

07/28/2023

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60605

Ever Disciplined

LastModifiedDate

02/20/2026