WILLIAM ANTHONY MANZO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

WILLIAM

Middle

ANTHONY

Last Name

MANZO

Business Name

WILLIAM ANTHONY MANZO MD

Original Issue Date

08/21/2014

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

DES MOINES

State

Zip

50309

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023