MICHAEL DAVID MUNOZ QUIEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067162

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

DAVID MUNOZ

Last Name

QUIEN

Business Name

MICHAEL DAVID MUNOZ QUIEN MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/02/2015