MYRNA T MANIULIT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

MYRNA T

Last Name

MANIULIT

Suffix

Business Name

MYRNA T MANIULIT MD

Original Issue Date

03/27/1985

Effective Date

03/27/1985

Expiration Date

07/31/1990

City

WHEELING

State

Zip

60090

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006