JEREMY RAIDER ESTRADA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130657

License Status

NOT RENEWED

Business

Title

First Name

JEREMY

Middle

RAIDER

Last Name

ESTRADA

Business Name

JEREMY RAIDER ESTRADA MD

Original Issue Date

06/27/2012

Effective Date

06/13/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017