DIMITRA ANNE MANESIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096223

License Status

NOT RENEWED

Business

First Name

DIMITRA ANNE

Last Name

MANESIS

Suffix

Business Name

DIMITRA ANNE MANESIS MD

Original Issue Date

07/29/1997

Effective Date

07/29/1997

Expiration Date

07/31/1999

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006