ROBERTO R MANSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046566

License Status

NOT RENEWED

Business

First Name

ROBERTO R

Last Name

MANSON

Suffix

Business Name

ROBERTO R MANSON MD

Original Issue Date

10/19/1972

Effective Date

10/19/1972

Expiration Date

07/31/1987

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006