DAVE PETER MANTE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024194

License Status

EXPIRED

Business

First Name

DAVE PETER

Last Name

MANTE

Suffix

Business Name

DAVE PETER MANTE MD

Original Issue Date

06/22/1989

Effective Date

06/22/1989

Expiration Date

06/26/1993

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006