RICARCHITO BUSTO MANERA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

RICARCHITO

Middle

BUSTO

Last Name

MANERA

Suffix

Business Name

RICARCHITO BUSTO MANERA MD

Original Issue Date

09/02/1999

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023