JOSE RICARDO PARRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

First Name

JOSE

Middle

RICARDO

Last Name

PARRA

Suffix

Business Name

JOSE RICARDO PARRA MD

Original Issue Date

07/11/2000

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023