MICHAEL MANCANO Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001148

License Status

CANCELLED

Business

First Name

MICHAEL

Last Name

MANCANO

Business Name

MICHAEL MANCANO

Original Issue Date

06/02/2022

Effective Date

06/25/2022

Expiration Date

06/24/2025

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

06/01/2022