MICHAEL GREGORY MANK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068105

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

GREGORY

Last Name

MANK

Business Name

MICHAEL GREGORY MANK DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/12/2017