MELISSA M PENAS MANTARING Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016245

License Status

EXPIRED

Business

First Name

MELISSA

Middle

Last Name

PENAS MANTARING

Business Name

MELISSA M PENAS MANTARING

Original Issue Date

07/25/1983

Effective Date

07/25/1983

Expiration Date

07/01/1985

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006