EDRIS JESUS NEGRON ROSAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

EDRIS

Middle

JESUS

Last Name

NEGRON ROSAL

Business Name

EDRIS JESUS NEGRON ROSAL MD

Original Issue Date

05/20/2025

Effective Date

05/20/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2025