WAYNE L MANSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053230

License Status

NOT RENEWED

Business

First Name

WAYNE L

Last Name

MANSON

Suffix

Business Name

WAYNE L MANSON MD

Original Issue Date

08/19/1976

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

03/06/2019