LUIS G MANRIQUE-TRUJILLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159068

License Status

NOT RENEWED

Business

Title

First Name

LUIS

Middle

Last Name

MANRIQUE-TRUJILLO

Business Name

LUIS G MANRIQUE-TRUJILLO MD

Original Issue Date

12/28/2021

Effective Date

12/28/2021

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023