RICHARD ALEXIS NIEVES SANTIAGO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172076

License Status

ACTIVE

Business

Title

First Name

RICHARD

Middle

ALEXIS

Last Name

NIEVES SANTIAGO

Business Name

RICHARD ALEXIS NIEVES SANTIAGO MD

Original Issue Date

09/20/2024

Effective Date

09/20/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2024