MARTHA CAROLINA MANN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155040

License Status

ACTIVE

Business

Title

First Name

MARTHA

Middle

CAROLINA

Last Name

MANN

Business Name

MARTHA CAROLINA MANN MD

Original Issue Date

12/14/2020

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

KINGMAN

State

Zip

86409

Ever Disciplined

LastModifiedDate

04/14/2025

Case Number

2021005963

Action

Permanent Inactive

Discipline Start Date

04/08/2025

Discipline Reason

physician and surgeon license placed on permanent inactive status for providing inaccurate information during application process in Missouri.