MANUEL DANIEL MANRIQUE-CHAVEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072432

License Status

EXPIRED

Business

Title

First Name

MANUEL

Middle

DANIEL

Last Name

MANRIQUE-CHAVEZ

Business Name

MANUEL DANIEL MANRIQUE-CHAVEZ MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/25/2021

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022