CARMEN A SIERRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

CARMEN A

Last Name

SIERRA

Suffix

Business Name

CARMEN A SIERRA MD

Original Issue Date

10/11/1996

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020