MANLY MICHAELSON Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076785

License Status

INACTIVE

Business

First Name

MANLY

Last Name

MICHAELSON

Business Name

MANLY MICHAELSON

Original Issue Date

03/12/1988

Effective Date

03/12/1988

Expiration Date

07/31/1993

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/20/2006