SALLY PORTERA MANKINS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117761

License Status

ACTIVE

Business

First Name

SALLY

Middle

PORTERA

Last Name

MANKINS

Suffix

Business Name

SALLY PORTERA MANKINS MD

Original Issue Date

03/05/2007

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

CASEYVILLE

State

Zip

62232

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/01/2023