JESSICA MANCUSO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

ACTIVE

Business

First Name

JESSICA

Last Name

MANCUSO

Business Name

JESSICA MANCUSO

Original Issue Date

12/13/2017

Effective Date

12/12/2025

Expiration Date

03/01/2028

City

NAPERVILLE

State

Zip

60540

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/12/2025