MANUEL RAUL MONTEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

MANUEL

Middle

RAUL

Last Name

MONTEZ

Suffix

Business Name

MANUEL RAUL MONTEZ MD

Original Issue Date

11/01/2006

Effective Date

07/08/2014

Expiration Date

07/31/2017

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/01/2017