RICHARD E VASQUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

RICHARD E

Last Name

VASQUEZ

Suffix

Business Name

RICHARD E VASQUEZ MD

Original Issue Date

07/26/1995

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

NORTH PORT

State

Zip

34286

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021