Genesis T Mancha Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

125077066

Status

Inactive (Cancelled)

First issued

July 1, 2020

Expired

June 30, 2023

License holder

Genesis T Mancha

Entity type

Individual

Classifications

• Temporary Medical Permit Physicians & Surgeons

More from the license record

Specialty

Pediatrics

Current term began

07/01/2020

Other Illinois licenses under this name

• IL
  Genesis T Mancha Md

  License 036165329 · Genesis T Mancha

  Licensed Physician and Surgeon (Medical Board)
  Active

  Chicago, IL

  Expires Jul 31, 2029
• 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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