MARCI MICHELLE MANNA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065212

License Status

EXPIRED

Business

Title

First Name

MARCI

Middle

MICHELLE

Last Name

MANNA

Business Name

MARCI MICHELLE MANNA MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

10/25/2018