GEISEL RAQUEL B COLLAZO GARCIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131393

License Status

ACTIVE

Business

Title

First Name

GEISEL RAQUEL

Middle

Last Name

COLLAZO GARCIA

Business Name

GEISEL RAQUEL B COLLAZO GARCIA MD

Original Issue Date

09/13/2012

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

06/12/2023