ANDREA TERESA DIMICHELE-MANES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170093

License Status

ACTIVE

Business

Title

First Name

ANDREA

Middle

TERESA

Last Name

DIMICHELE-MANES

Business Name

ANDREA TERESA DIMICHELE-MANES MD

Original Issue Date

05/02/2024

Effective Date

05/02/2024

Expiration Date

07/31/2026

City

CHUBBUCK

State

Zip

83202

Ever Disciplined

LastModifiedDate

05/02/2024