Nicole T Manecke
ExpiredIllinois license 38*****74
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****74
- Status
- Expired (Not Renewed)
- First issued
- December 30, 2002
- Expired
- March 1, 2008
- License holder
- Nicole T Manecke
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 12/30/2002
Other Illinois licenses under this name
-
IL
InactiveMinneapolis, MNExpired Mar 1, 2008
Contact
Gurnee, IL 60031
Lake County