ANGELICA MICHELLE MANZUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138076

License Status

NOT RENEWED

Business

Title

First Name

ANGELICA

Middle

MICHELLE

Last Name

MANZUR

Business Name

ANGELICA MICHELLE MANZUR MD

Original Issue Date

05/26/2015

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021