LILA M MANCINI Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****64

License Status

INACTIVE

Business

First Name

LILA M

Last Name

MANCINI

Business Name

LILA M MANCINI

Original Issue Date

01/01/1998

Effective Date

12/27/2010

Expiration Date

01/31/2013

City

LEMONT

State

Zip

60439

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2012