LISA KURIEN MANI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065717

License Status

CANCELLED

Business

Title

First Name

LISA

Middle

KURIEN

Last Name

MANI

Business Name

LISA KURIEN MANI MD

Original Issue Date

06/22/2014

Effective Date

06/22/2014

Expiration Date

06/21/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/20/2014