ROGER A LUCERO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

Last Name

LUCERO

Suffix

Business Name

ROGER A LUCERO MD

Original Issue Date

06/13/1988

Effective Date

08/02/2011

Expiration Date

07/31/2014

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014