MEENAKSHI MANIVANNAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076200

License Status

EXPIRED

Business

Title

First Name

MEENAKSHI

Last Name

MANIVANNAN

Business Name

MEENAKSHI MANIVANNAN MD

Original Issue Date

06/30/2023

Effective Date

06/30/2023

Expiration Date

06/29/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

10/30/2024