MANUEL CACERES POLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

MANUEL

Last Name

CACERES POLO

Suffix

Business Name

MANUEL CACERES POLO MD

Original Issue Date

05/16/2008

Effective Date

05/16/2008

Expiration Date

07/31/2011

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011