RENATO B IMANA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044021

License Status

INACTIVE

Business

First Name

RENATO B

Last Name

IMANA

Suffix

Business Name

RENATO B IMANA MD

Original Issue Date

02/05/1971

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/07/2011