JAMES EDWIN MANINT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

JAMES

Middle

EDWIN

Last Name

MANINT

Business Name

JAMES EDWIN MANINT DO

Original Issue Date

01/01/1997

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MONTICELLO

State

Zip

61856

County

PIATT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023