THADDEUS J MANCZKO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100560

License Status

NOT RENEWED

Business

First Name

THADDEUS

Middle

Last Name

MANCZKO

Suffix

Business Name

THADDEUS J MANCZKO MD

Original Issue Date

07/06/1999

Effective Date

07/18/2014

Expiration Date

07/31/2017

City

WILLOW SPRINGS

State

Zip

60480

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017