MELISSA JANE MANRIQUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

MELISSA

Middle

JANE

Last Name

MANRIQUE

Suffix

Business Name

MELISSA JANE MANRIQUE MD

Original Issue Date

11/15/2018

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023