REBECCA ANNE MANTSCH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042975

License Status

EXPIRED

Business

First Name

REBECCA

Middle

ANNE

Last Name

MANTSCH

Business Name

REBECCA ANNE MANTSCH

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006