MANUEL MARTINEZ Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

CANCELLED

Business

First Name

MANUEL

Last Name

MARTINEZ

Business Name

MANUEL MARTINEZ

Original Issue Date

07/18/2002

Effective Date

07/18/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60632

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006