ROBERT BENEDICT MAMMANA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056532

License Status

NOT RENEWED

Business

First Name

ROBERT BENEDICT

Last Name

MAMMANA

Suffix

Business Name

ROBERT BENEDICT MAMMANA MD

Original Issue Date

03/14/1978

Effective Date

03/14/1978

Expiration Date

07/01/1982

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006