LUIS E MANYARI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037308

License Status

EXPIRED

Business

First Name

LUIS

Middle

Last Name

MANYARI

Suffix

Business Name

LUIS E MANYARI MD

Original Issue Date

06/26/1998

Effective Date

06/26/1998

Expiration Date

06/25/2001

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006