LISA KURIEN MANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

KURIEN

Last Name

MANI

Business Name

LISA KURIEN MANI MD

Original Issue Date

04/14/2017

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60120

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023