JESUS A MANTECA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030576

License Status

EXPIRED

Business

First Name

JESUS A

Last Name

MANTECA

Suffix

Business Name

JESUS A MANTECA MD

Original Issue Date

07/02/1993

Effective Date

07/02/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006