DENNIS T MANSHIO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

DENNIS T

Last Name

MANSHIO

Business Name

DENNIS T MANSHIO

Original Issue Date

07/31/1990

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/14/2025