JOHN ANDREW MANTLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043654

License Status

NOT RENEWED

Business

First Name

JOHN ANDREW

Last Name

MANTLE

Suffix

Business Name

JOHN ANDREW MANTLE MD

Original Issue Date

08/10/1970

Effective Date

08/10/1970

City

MOUNTAIN BROOK

State

Zip

35223

County

ALABAMA

Ever Disciplined

LastModifiedDate

09/20/2006