CONSTANTINE A MANTHOUS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082700

License Status

INACTIVE

Business

First Name

CONSTANTINE A

Last Name

MANTHOUS

Suffix

Business Name

CONSTANTINE A MANTHOUS MD

Original Issue Date

06/26/1991

Effective Date

06/26/1991

Expiration Date

07/31/1993

City

MERIDEN

State

Zip

06450

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

09/20/2006