RICARDO MANUEL QUEZADA 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

Title

First Name

RICARDO

Middle

MANUEL

Last Name

QUEZADA

Business Name

RICARDO MANUEL QUEZADA MD

Original Issue Date

05/12/2015

Effective Date

05/12/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60633

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020