GREGORIO M MANABAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

GREGORIO M

Last Name

MANABAT

Suffix

Business Name

GREGORIO M MANABAT MD

Original Issue Date

01/01/1997

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017