LOUIS JOHN MANQUEN JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

LOUIS

Middle

JOHN

Last Name

MANQUEN

Suffix

JR MD

Business Name

LOUIS JOHN MANQUEN JR MD

Original Issue Date

01/30/2003

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023