JONATHAN ERIC MANNHEIM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072209

License Status

CANCELLED

Business

Title

First Name

JONATHAN

Middle

ERIC

Last Name

MANNHEIM

Business Name

JONATHAN ERIC MANNHEIM MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/21/2018