MANUEL YBARRA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044177

License Status

CANCELLED

Business

First Name

MANUEL

Last Name

YBARRA

Suffix

Business Name

MANUEL YBARRA MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

07/07/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

08/11/2010