SATYA P MANAM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

SATYA P

Last Name

MANAM

Business Name

SATYA P MANAM

Original Issue Date

12/12/1994

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60564

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023