AMANDA HELEN MENZE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069925

License Status

CANCELLED

Business

Title

First Name

AMANDA

Middle

HELEN

Last Name

MENZE

Business Name

AMANDA HELEN MENZE MD

Original Issue Date

06/30/2020

Effective Date

06/30/2020

Expiration Date

06/29/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

02/13/2020