CRISTINA MANTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

CRISTINA

Last Name

MANTA

Suffix

Business Name

CRISTINA MANTA MD

Original Issue Date

05/04/2010

Effective Date

05/04/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020