DONALD CURTIS MANN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

CANCELLED

Business

First Name

DONALD

Middle

CURTIS

Last Name

MANN

Suffix

Business Name

DONALD CURTIS MANN MD

Original Issue Date

07/20/2000

Effective Date

07/31/2007

Expiration Date

07/31/2008

City

STREATOR

State

Zip

61364

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011