MANITA KANATHANAVANICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171413

License Status

ACTIVE

Business

Title

First Name

MANITA

Last Name

KANATHANAVANICH

Business Name

MANITA KANATHANAVANICH MD

Original Issue Date

08/01/2024

Effective Date

08/01/2024

Expiration Date

07/31/2026

City

PHILADELPHIA

State

Zip

19104

Ever Disciplined

LastModifiedDate

04/02/2024