RAFAEL A PELEGRIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071662

License Status

NOT RENEWED

Business

First Name

RAFAEL

Middle

Last Name

PELEGRIN

Suffix

Business Name

RAFAEL A PELEGRIN MD

Original Issue Date

09/18/1985

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

01/21/2010

Case Number

2009008052

Action

Refuse To Renew

Discipline Start Date

01/21/2010

Discipline Reason

due to a felony conviction.