MARIAH NICHOL MANZANARES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042068

License Status

EXPIRED

Business

First Name

MARIAH

Middle

NICHOL

Last Name

MANZANARES

Suffix

Business Name

MARIAH NICHOL MANZANARES MD

Original Issue Date

07/18/2000

Effective Date

07/18/2000

Expiration Date

07/17/2003

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006