MANUEL VILLARREAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038654

License Status

NOT RENEWED

Business

First Name

MANUEL

Last Name

VILLARREAL

Suffix

Business Name

MANUEL VILLARREAL MD

Original Issue Date

09/11/1963

Effective Date

09/11/1963

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006