MICHAEL J MANOLES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MANOLES

Suffix

Business Name

MICHAEL J MANOLES MD

Original Issue Date

02/27/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011