LUIS A MANRIQUE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

First Name

LUIS

Middle

Last Name

MANRIQUE

Business Name

LUIS A MANRIQUE

Original Issue Date

03/18/2004

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023