MANUEL MARTINEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013613

License Status

EXPIRED

Business

First Name

MANUEL

Middle

BURCIAGA

Last Name

MARTINEZ

Business Name

MANUEL MARTINEZ

Original Issue Date

12/30/1981

Effective Date

12/30/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006