MARCI MICHELLE MANNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141427

License Status

NOT RENEWED

Business

Title

First Name

MARCI

Middle

MICHELLE

Last Name

MANNA

Business Name

MARCI MICHELLE MANNA MD

Original Issue Date

08/03/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021