LUIS MIGUEL BARCENA BLANCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133671

License Status

NOT RENEWED

Business

Title

First Name

LUIS

Middle

MIGUEL

Last Name

BARCENA BLANCH

Business Name

LUIS MIGUEL BARCENA BLANCH MD

Original Issue Date

07/31/2013

Effective Date

07/31/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014