LOUIS JOHN MANQUEN JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023564

License Status

EXPIRED

Business

First Name

LOUIS

Middle

JOHN

Last Name

MANQUEN

Suffix

JR MD

Business Name

LOUIS JOHN MANQUEN JR MD

Original Issue Date

05/05/1989

Effective Date

05/05/1989

Expiration Date

06/25/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006