STEPHANOS P MANTAGOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052345

License Status

NOT RENEWED

Business

First Name

STEPHANOS P

Last Name

MANTAGOS

Suffix

Business Name

STEPHANOS P MANTAGOS MD

Original Issue Date

02/13/1976

Effective Date

02/13/1976

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006