MANISH M TANNA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

MANISH M

Last Name

TANNA

Business Name

MANISH M TANNA

Original Issue Date

08/04/1997

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023