SISTER MAURA ROSARIO CARRASCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

Title

First Name

SISTER MAURA

Middle

ROSARIO

Last Name

CARRASCO

Business Name

SISTER MAURA ROSARIO CARRASCO MD

Original Issue Date

05/13/2019

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023