HAZEL BENZON MANZANO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104413

License Status

ACTIVE

Business

First Name

HAZEL

Middle

BENZON

Last Name

MANZANO

Business Name

HAZEL BENZON MANZANO

Original Issue Date

03/28/2001

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/29/2023