License Search: Details

Name	Title	Specialty	Certified	Primary Practice Location	Licensed Or Has Been Licensed In
Ernesto Castro Manuel	MD	Family Practice	Verify Specialty Certification	Fountain Place Medical Center 300 Prosperity Lane, Suite 201 Logan, WV (Logan)	No other states on file

License History

License Type	License Number	Status	License Date	Expiration Date
PMD	14503	Active	07/08/1985	6/30/2027
DRD	3394	Expired	04/29/2010	6/30/2017

Education History

School	Date Completed	Nature of Training
College Of Medicine, University Of The City Of Manila	05/02/1965	Medical or Podiatric School

Physician Assistant(s) Collaboration

Name
No Current Supervision

Discipline/Board Action History

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Probation of License	04/17/1987	Consent Order
Yes	Reprimand or Censure	6/24/2014	Consent Order

Malpractice History

No Malpractice Cases On Record

This data was retrieved on 4/1/2026.