STEPHEN R MANOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

MANOCK

Suffix

Business Name

STEPHEN R MANOCK MD

Original Issue Date

06/04/1991

Effective Date

06/04/1991

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006