Genesis T Mancha Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036165329

Status

Active

First issued

June 21, 2023

Expires

July 31, 2029

License holder

Genesis T Mancha

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

05/05/2026

Other Illinois licenses under this name

• IL
  Genesis T Mancha Md

  License 125077066 · Genesis T Mancha

  Temporary Medical Permit
  Inactive

  Chicago, IL

  Expired Jun 30, 2023
• IL
  Genesis T Mancha Md

  License 33*****30 · Genesis T Mancha

  Licensed Physician Controlled Substance (Medical Board)
  Active

  Chicago, IL

  Expires Jul 31, 2029

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