BOB A MANAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021628

License Status

EXPIRED

Business

First Name

BOB A

Last Name

MANAM

Suffix

Business Name

BOB A MANAM MD

Original Issue Date

07/22/1987

Effective Date

07/22/1987

Expiration Date

07/01/1990

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006