GABRIEL HUMBERTO MANZI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050495

License Status

CANCELLED

Business

First Name

GABRIEL

Middle

HUMBERTO

Last Name

MANZI

Suffix

Business Name

GABRIEL HUMBERTO MANZI MD

Original Issue Date

07/27/2005

Effective Date

07/27/2005

Expiration Date

07/26/2008

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006