SUHAS DATTATRAY MANTRI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

SUHAS DATTATRAY

Last Name

MANTRI

Suffix

Business Name

SUHAS DATTATRAY MANTRI MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006