KERI ROBERTSON FUENZALIDA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

KERI

Middle

ROBERTSON

Last Name

FUENZALIDA

Suffix

Business Name

KERI ROBERTSON FUENZALIDA DO

Original Issue Date

04/04/2007

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023