WAYNE L MANSON 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

WAYNE L

Last Name

MANSON

Suffix

Business Name

WAYNE L MANSON MD

Original Issue Date

01/01/1997

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017