ROBIN L MANIURSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

ROBIN

Middle

Last Name

MANIURSKI

Suffix

Business Name

ROBIN L MANIURSKI MD

Original Issue Date

04/25/2007

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

GROVELAND

State

Zip

61535

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023