CRYSTAL VAUGHN MANSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139867

License Status

ACTIVE

Business

Title

First Name

CRYSTAL

Middle

VAUGHN

Last Name

MANSE

Business Name

CRYSTAL VAUGHN MANSE MD

Original Issue Date

02/25/2016

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/06/2023