JOHN L MANSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096773

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

GILLETTE

State

Zip

82718

Ever Disciplined

LastModifiedDate

11/17/2014