GERALD PETER MCMANAMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

Title

First Name

GERALD

Middle

PETER

Last Name

MCMANAMA

Business Name

GERALD PETER MCMANAMA MD

Original Issue Date

10/29/1999

Effective Date

10/29/1999

Expiration Date

07/31/2002

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006