MANASA BROWN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079301

License Status

CANCELLED

Business

Title

First Name

MANASA

Last Name

BROWN

Business Name

MANASA BROWN MD

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

06/23/2025

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

02/24/2025