NICHOLAS J MANNO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

NICHOLAS J

Last Name

MANNO

Suffix

Business Name

NICHOLAS J MANNO MD

Original Issue Date

01/01/1997

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023