MANUEL ANTONIO GUANDIQUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

MANUEL ANTONIO

Last Name

GUANDIQUE

Suffix

Business Name

MANUEL ANTONIO GUANDIQUE MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006