JAIME QUEZADA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

Title

First Name

JAIME

Last Name

QUEZADA

Business Name

JAIME QUEZADA MD

Original Issue Date

08/16/2007

Effective Date

06/13/2017

Expiration Date

09/30/2020

City

RICHMOND

State

Zip

60071

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021