CRISTINA MANTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050921

License Status

EXPIRED

Business

First Name

CRISTINA

Last Name

MANTA

Suffix

Business Name

CRISTINA MANTA MD

Original Issue Date

07/09/2009

Effective Date

07/09/2009

Expiration Date

07/08/2010

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

07/08/2010