Manita Kanathanavanich Md
ActiveIllinois license 036171413
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036171413
- Status
- Active
- First issued
- August 1, 2024
- Expires
- July 31, 2029
- License holder
- Manita Kanathanavanich
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 05/12/2026
Contact
Fort Wayne, IN 46804