RACQUEL RAMIREZ-DOLLETON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

RACQUEL

Last Name

RAMIREZ-DOLLETON

Business Name

RACQUEL RAMIREZ-DOLLETON

Original Issue Date

05/02/1995

Effective Date

05/02/1995

Expiration Date

07/31/2002

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020