JAMES R MANGERSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010994

License Status

ACTIVE

Business

First Name

JAMES

Middle

Last Name

MANGERSON

Business Name

JAMES R MANGERSON

Original Issue Date

12/03/2024

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

ELM GROVE

State

Zip

53122

Ever Disciplined

LastModifiedDate

02/10/2026