MYRNA T MANIULIT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014834

License Status

EXPIRED

Business

First Name

MYRNA T

Last Name

MANIULIT

Suffix

Business Name

MYRNA T MANIULIT MD

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006