SUHAS DATTATRAY MANTRI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057306

License Status

NOT RENEWED

Business

First Name

SUHAS DATTATRAY

Last Name

MANTRI

Suffix

Business Name

SUHAS DATTATRAY MANTRI MD

Original Issue Date

07/24/1978

Effective Date

07/24/1978

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/20/2006