RUSSELL WORTH MANKTELOW DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038009295

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

WORTH

Last Name

MANKTELOW

Suffix

Business Name

RUSSELL WORTH MANKTELOW DC

Original Issue Date

02/07/2001

Effective Date

02/07/2001

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006