JAMES EDWIN MANINT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058029

License Status

ACTIVE

Business

Title

First Name

JAMES

Middle

EDWIN

Last Name

MANINT

Business Name

JAMES EDWIN MANINT DO

Original Issue Date

11/20/1978

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

04/07/2023