MICHAEL DAVID MUNOZ QUIEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

DAVID MUNOZ

Last Name

QUIEN

Business Name

MICHAEL DAVID MUNOZ QUIEN MD

Original Issue Date

06/14/2018

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023