KELLEY H MCMANIGLE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034396

License Status

EXPIRED

Business

First Name

KELLEY

Middle

Last Name

MCMANIGLE

Suffix

Business Name

KELLEY H MCMANIGLE DO

Original Issue Date

05/16/1996

Effective Date

05/16/1996

Expiration Date

06/20/1999

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006