ELIZABETH ANNE MANN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Middle

ANNE

Last Name

MANN

Business Name

ELIZABETH ANNE MANN MD

Original Issue Date

03/05/2021

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

53711

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023