RICARDO ANDRES SILLER DE LA ROSA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

RICARDO

Middle

ANDRES

Last Name

SILLER DE LA ROSA

Business Name

RICARDO ANDRES SILLER DE LA ROSA MD

Original Issue Date

10/30/2023

Effective Date

10/30/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/30/2023