ELISEO ROSEL ROQUIZ JR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

ELISEO

Middle

ROSEL

Last Name

ROQUIZ

Suffix

Business Name

ELISEO ROSEL ROQUIZ JR DO

Original Issue Date

11/08/2012

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023