MARIAN F MANANKIL 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

MARIAN

Middle

Last Name

MANANKIL

Business Name

MARIAN F MANANKIL

BusinessDBA

MANANKIL

Original Issue Date

03/18/2008

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60645

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021