MANUEL ENRIQUE SIERRA ASCENCIO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050632

License Status

EXPIRED

Business

First Name

MANUEL

Middle

ENRIQUE

Last Name

SIERRA ASCENCIO

Suffix

Business Name

MANUEL ENRIQUE SIERRA ASCENCIO MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009