MANUEL I DORIA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

MANUEL I

Last Name

DORIA JR

Suffix

Business Name

MANUEL I DORIA JR MD

Original Issue Date

04/23/1984

Effective Date

04/23/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020