RAFAEL P CARREIRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

RAFAEL P

Last Name

CARREIRA

Suffix

Business Name

RAFAEL P CARREIRA MD

Original Issue Date

04/18/1996

Effective Date

04/18/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60651

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

04/07/2011