MARLENE A MANTICH Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000202

License Status

EXPIRED

Business

First Name

MARLENE A

Last Name

MANTICH

Business Name

MARLENE A MANTICH

Original Issue Date

06/08/1994

Effective Date

06/08/1994

Expiration Date

07/31/1995

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006