MANUEL BERNAL MEJIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071885

License Status

CANCELLED

Business

Title

First Name

MANUEL

Last Name

BERNAL MEJIA

Business Name

MANUEL BERNAL MEJIA MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/24/2018