MICHELINO MANCINI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044232

License Status

EXPIRED

Business

First Name

MICHELINO

Last Name

MANCINI

Suffix

Business Name

MICHELINO MANCINI DO

Original Issue Date

06/19/2002

Effective Date

06/19/2002

Expiration Date

06/30/2005

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006