MELINDA MAE MANTOOTH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170753

License Status

ACTIVE

Business

Title

First Name

MELINDA

Middle

MAE

Last Name

MANTOOTH

Business Name

MELINDA MAE MANTOOTH DO

Original Issue Date

06/25/2024

Effective Date

06/25/2024

Expiration Date

07/31/2026

City

WAUKEGAN

State

Zip

60085

County

ADAMS

Ever Disciplined

LastModifiedDate

06/25/2024