MARISA S AGUILA-MANALO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

MARISA S

Last Name

AGUILA-MANALO

Suffix

Business Name

MARISA S AGUILA-MANALO MD

Original Issue Date

11/16/1984

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

07/31/2023