NATALIE CORNAY MANALO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137858

License Status

NOT RENEWED

Business

Title

First Name

NATALIE

Middle

CORNAY

Last Name

MANALO

Business Name

NATALIE CORNAY MANALO MD

Original Issue Date

04/24/2015

Effective Date

04/24/2015

Expiration Date

07/31/2017

City

FORT WAYNE

State

Zip

46814

Ever Disciplined

LastModifiedDate

11/01/2017