WILLIAM G MANALO 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

WILLIAM G

Last Name

MANALO

Suffix

Business Name

WILLIAM G MANALO MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

ERIE

State

Zip

61250

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006