MANIVALD HARM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031823

License Status

INACTIVE

Business

First Name

MANIVALD

Last Name

HARM

Suffix

Business Name

MANIVALD HARM MD

Original Issue Date

03/11/1953

Effective Date

03/11/1953

Expiration Date

07/31/1996

City

MACKINAW

State

Zip

61755

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/20/2006