MANUEL MARTINEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

MANUEL

Middle

BURCIAGA

Last Name

MARTINEZ

Business Name

MANUEL MARTINEZ

Original Issue Date

07/09/1990

Effective Date

07/09/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020