MIGUEL ENRIQUE MANRIQUE PALAVICCINI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174840

License Status

ACTIVE

Business

Title

First Name

MIGUEL

Middle

ENRIQUE

Last Name

MANRIQUE PALAVICCINI

Business Name

MIGUEL ENRIQUE MANRIQUE PALAVICCINI MD

Original Issue Date

05/01/2025

Effective Date

05/01/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

03/20/2025