DEBRA ANN MANDARINO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028184

License Status

EXPIRED

Business

Title

First Name

DEBRA ANN

Last Name

MANDARINO

Business Name

DEBRA ANN MANDARINO MD

Original Issue Date

05/18/1992

Effective Date

05/18/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006