DAVID L MCMANIS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****92

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

MCMANIS

Suffix

Business Name

DAVID L MCMANIS OD

Original Issue Date

12/14/2011

Effective Date

01/18/2012

Expiration Date

03/31/2014

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014