RAMIRO FELIX PRUDENCIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

RAMIRO FELIX

Last Name

PRUDENCIO

Suffix

Business Name

RAMIRO FELIX PRUDENCIO MD

Original Issue Date

09/24/1996

Effective Date

09/24/1996

Expiration Date

07/31/1999

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017