BEJON TEMUS MANECKSHANA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

Title

First Name

BEJON

Middle

TEMUS

Last Name

MANECKSHANA

Business Name

BEJON TEMUS MANECKSHANA MD

Original Issue Date

06/25/2008

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014