CHRISTINA MARIE MANNIX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108876

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

MARIE

Last Name

MANNIX

Suffix

Business Name

CHRISTINA MARIE MANNIX MD

Original Issue Date

03/26/2003

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

11/01/2017