DOMENICO MANZONE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047540

License Status

NOT RENEWED

Business

First Name

DOMENICO

Last Name

MANZONE

Suffix

Business Name

DOMENICO MANZONE MD

Original Issue Date

06/28/1973

Effective Date

06/28/1973

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/18/2009