JOAN M MANKOWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

JOAN

Middle

Last Name

MANKOWSKI

Suffix

Business Name

JOAN M MANKOWSKI MD

Original Issue Date

02/01/2000

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017