ELIZABETH JOAN MANGEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****53

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

JOAN

Last Name

MANGEN

Business Name

ELIZABETH JOAN MANGEN

Original Issue Date

09/24/2024

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

02/20/2026