MANUEL R ASCANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

MANUEL R

Last Name

ASCANO

Suffix

Business Name

MANUEL R ASCANO MD

Original Issue Date

11/29/1989

Effective Date

11/29/1989

Expiration Date

07/31/1996

City

SHEFFIELD

State

Zip

61361

County

BUREAU

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020