RAISA RAZALAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075448

License Status

EXPIRED

Business

Title

First Name

RAISA

Last Name

RAZALAN

Business Name

RAISA RAZALAN MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022