NINA SOCORRO E MANIQUIS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

NINA SOCORRO E

Last Name

MANIQUIS

Business Name

NINA SOCORRO E MANIQUIS

Original Issue Date

11/15/1994

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023