PAMELA EMMANUEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149412

License Status

INACTIVE

Business

Title

First Name

PAMELA

Last Name

EMMANUEL

Business Name

PAMELA EMMANUEL MD

Original Issue Date

05/21/2019

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/21/2026