MANUEL D SANTIAGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

MANUEL

Middle

Last Name

SANTIAGO

Business Name

MANUEL D SANTIAGO MD

Original Issue Date

08/09/1996

Effective Date

08/09/1996

Expiration Date

07/31/2008

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020