GIL BALEVA MANALO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

CANCELLED

Business

First Name

GIL BALEVA

Last Name

MANALO

Business Name

GIL BALEVA MANALO

Original Issue Date

12/02/1997

Effective Date

12/02/1997

Expiration Date

07/31/2002

City

EAST SAINT LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006