SALLY PORTERA MANKINS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

First Name

SALLY

Middle

PORTERA

Last Name

MANKINS

Suffix

Business Name

SALLY PORTERA MANKINS MD

Original Issue Date

03/05/2007

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

CASEYVILLE

State

Zip

62232

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023