JANE M MANALO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122145

License Status

NOT RENEWED

Business

First Name

JANE

Middle

Last Name

MANALO

Suffix

Business Name

JANE M MANALO MD

Original Issue Date

10/30/2008

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/01/2017