AUGUSTINE M MANADAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

AUGUSTINE

Middle

Last Name

MANADAN

Business Name

AUGUSTINE M MANADAN MD

Original Issue Date

05/22/2025

Effective Date

05/22/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/22/2025