SHANNON CLARE MANZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079464

License Status

CANCELLED

Business

Title

First Name

SHANNON

Middle

CLARE

Last Name

MANZ

Business Name

SHANNON CLARE MANZ MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/06/2025