RAFI ESRAIL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

RAFI

Last Name

ESRAIL

Business Name

RAFI ESRAIL

Original Issue Date

08/21/1998

Effective Date

08/21/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006