MARY E L MANTIONE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037518

License Status

NOT RENEWED

Business

First Name

MARY E L

Last Name

MANTIONE

Suffix

Business Name

MARY E L MANTIONE MD

Original Issue Date

11/22/1961

Effective Date

11/22/1961

Expiration Date

07/31/1996

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006