ANDREA PARISA MANN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057770

License Status

CANCELLED

Business

Title

First Name

ANDREA

Middle

PARISA

Last Name

MANN

Business Name

ANDREA PARISA MANN DO

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/13/2010