VAN XUAN MANH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

VAN XUAN

Last Name

MANH

Suffix

Business Name

VAN XUAN MANH MD

Original Issue Date

09/16/1987

Effective Date

09/16/1987

Expiration Date

07/31/1990

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006