MANUEL M CORRALES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

MANUEL M

Last Name

CORRALES

Suffix

Business Name

MANUEL M CORRALES MD

Original Issue Date

10/06/1981

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021