NEIL ANDERSON MANSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

NEIL

Middle

ANDERSON

Last Name

MANSON

Suffix

Business Name

NEIL ANDERSON MANSON MD

Original Issue Date

07/11/2005

Effective Date

07/11/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008