DANIEL A MANUAT JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

DANIEL A

Last Name

MANUAT JR

Suffix

Business Name

DANIEL A MANUAT JR MD

Original Issue Date

04/30/1997

Effective Date

04/30/1997

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011