VAN XUAN MANH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066277

License Status

NOT RENEWED

Business

First Name

VAN XUAN

Last Name

MANH

Suffix

Business Name

VAN XUAN MANH MD

Original Issue Date

03/24/1983

Effective Date

03/24/1983

Expiration Date

07/31/1990

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006