ROSA NELLY PEREZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135421

License Status

NOT RENEWED

Business

Title

First Name

ROSA

Middle

NELLY

Last Name

PEREZ

Business Name

ROSA NELLY PEREZ MD

Original Issue Date

06/05/2014

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021