MEENA MANUEL JOSEPH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

MEENA MANUEL

Last Name

JOSEPH

Business Name

MEENA MANUEL JOSEPH

Original Issue Date

09/25/1984

Effective Date

09/25/1984

Expiration Date

07/31/1993

City

ELMHURST

State

Zip

60126

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006