RICARDO KELLY ESPAILLAT MD 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

Title

First Name

RICARDO

Middle

KELLY

Last Name

ESPAILLAT

Business Name

RICARDO KELLY ESPAILLAT MD

Original Issue Date

07/19/1999

Effective Date

07/19/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020