ELIZABETH BRADY MAHANNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

Title

First Name

ELIZABETH

Middle

BRADY

Last Name

MAHANNA

Business Name

ELIZABETH BRADY MAHANNA MD

Original Issue Date

07/08/2011

Effective Date

07/08/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

11/17/2014