MARLENE A MANTICH - Podiatrist License in Illinois | # 016004721

MARLENE A MANTICH

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004721

License Status

NOT RENEWED

Business

N

First Name

MARLENE A

Last Name

MANTICH

Business Name

MARLENE A MANTICH

Original Issue Date

09/13/1995

Effective Date

01/30/2017

Expiration Date

01/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019