License holder summary

Alicia Marie Mancuso is a Medical Fellowship Permit licensed to practice in Indiana. The address on file for Alicia Marie Mancuso is South Bend IN 46601. This licensed professional license is not current. The license was granted 09/12/2012 and expired on 06/30/2013.

Indiana

Professional Licensing Agency

Alicia Marie Mancuso
Medical Fellowship Permit
License number
73000045A
Date granted
09/12/2012
Date expires
06/30/2013
Class
Medical Fellowship Permit
Status
Expired
Address
South Bend IN 46601
indianalicensing.org
ID 5966034
LAST UPDATED 2024-04-14 21:56:44 UTC

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