LIZA R MANIQUIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026056

License Status

EXPIRED

Business

First Name

LIZA R

Last Name

MANIQUIS

Business Name

LIZA R MANIQUIS

Original Issue Date

10/16/1990

Effective Date

10/16/1990

Expiration Date

11/04/1993

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006