LUIS A MANRIQUE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110692

License Status

ACTIVE

Business

First Name

LUIS

Middle

Last Name

MANRIQUE

Business Name

LUIS A MANRIQUE

Original Issue Date

01/15/2004

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2023