KENNETH EUGENE MANN DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097938

License Status

INACTIVE

Business

First Name

KENNETH

Middle

EUGENE

Last Name

MANN

Suffix

Business Name

KENNETH EUGENE MANN DO

Original Issue Date

06/08/1998

Effective Date

06/08/1998

Expiration Date

07/31/1999

City

POPLAR BLUFF

State

Zip

63901

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/16/2016