DANNEN D MANNSCHRECK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

CANCELLED

Business

First Name

DANNEN D

Last Name

MANNSCHRECK

Suffix

Business Name

DANNEN D MANNSCHRECK MD

Original Issue Date

01/30/1996

Effective Date

01/30/1996

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61107

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006