NANCY M MANTICH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

NANCY M

Last Name

MANTICH

Business Name

NANCY M MANTICH

Original Issue Date

07/14/1997

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023