DURRE S RAJA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

DURRE

Middle

Last Name

RAJA

Business Name

DURRE S RAJA

Original Issue Date

06/13/2011

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020