JOHN L MANSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

MANSELL

Suffix

Business Name

JOHN L MANSELL MD

Original Issue Date

10/03/1997

Effective Date

05/20/2011

Expiration Date

07/31/2014

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014