Manorama Mohapatra
InactiveIllinois license 036054315
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036054315
- Status
- Inactive
- First issued
- March 14, 1977
- Expired
- July 31, 1987
- License holder
- Manorama Mohapatra
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 03/14/1977
Contact
St Louis, MO 63141
Missouri County