MANISHA KUMAR FENZL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152713

License Status

ACTIVE

Business

Title

First Name

MANISHA

Middle

KUMAR

Last Name

FENZL

Business Name

MANISHA KUMAR FENZL MD

Original Issue Date

04/24/2020

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

BETTENDORF

State

Zip

52722

Ever Disciplined

LastModifiedDate

04/07/2023