CARLOS RAFAEL SIERRA-RODRIGUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

CARLOS

Middle

RAFAEL

Last Name

SIERRA-RODRIGUEZ

Business Name

CARLOS RAFAEL SIERRA-RODRIGUEZ MD

Original Issue Date

12/01/2015

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023