EDWIN Y MANTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060006

License Status

NOT RENEWED

Business

First Name

EDWIN Y

Last Name

MANTE

Suffix

Business Name

EDWIN Y MANTE MD

Original Issue Date

02/04/1980

Effective Date

02/04/1980

Expiration Date

07/31/2005

City

PORTAGE

State

Zip

49024

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006