HALEY KOTH MANNING DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

HALEY

Middle

KOTH

Last Name

MANNING

Business Name

HALEY KOTH MANNING DO

Original Issue Date

10/04/2021

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

LEMONT

State

Zip

60439

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2025