ANJALI MANNAVA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079338

License Status

EXPIRED

Business

Title

First Name

ANJALI

Last Name

MANNAVA

Business Name

ANJALI MANNAVA DO

Original Issue Date

06/25/2022

Effective Date

06/25/2022

Expiration Date

06/24/2025

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/03/2025