ANGELICA MICHELLE MANZUR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061368

License Status

CANCELLED

Business

Title

First Name

ANGELICA

Middle

MICHELLE

Last Name

MANZUR

Business Name

ANGELICA MICHELLE MANZUR MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014