MICHAEL EMMANUEL MANDIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112094

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

EMMANUEL

Last Name

MANDIS

Suffix

Business Name

MICHAEL EMMANUEL MANDIS MD

Original Issue Date

08/12/2004

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

Ever Disciplined

LastModifiedDate

06/28/2023