FERNANDO JACINTO MANALAC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

FERNANDO

Middle

JACINTO

Last Name

MANALAC

Suffix

Business Name

FERNANDO JACINTO MANALAC MD

Original Issue Date

07/12/2010

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014