ANTONIO MANCINI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043234

License Status

EXPIRED

Business

First Name

ANTONIO

Last Name

MANCINI

Suffix

Business Name

ANTONIO MANCINI DO

Original Issue Date

06/19/2001

Effective Date

06/19/2001

Expiration Date

06/30/2007

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Urological Surgery

Ever Disciplined

LastModifiedDate

07/03/2007