MANUEL MARTINEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066179

License Status

NOT RENEWED

Business

First Name

MANUEL

Middle

BURCIAGA

Last Name

MARTINEZ

Business Name

MANUEL MARTINEZ

Original Issue Date

03/03/1983

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021