MARY E L MANTIONE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

MARY E L

Last Name

MANTIONE

Suffix

Business Name

MARY E L MANTIONE MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006