RAFAEL PIEDRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065284

License Status

NOT RENEWED

Business

First Name

RAFAEL

Last Name

PIEDRA

Suffix

Business Name

RAFAEL PIEDRA MD

Original Issue Date

08/30/1982

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021