MICHAEL G MCMANNIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039041

License Status

EXPIRED

Business

First Name

MICHAEL G

Last Name

MCMANNIS

Business Name

MICHAEL G MCMANNIS

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

01/24/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006