RAQUEL ELISA REDONDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

Title

First Name

RAQUEL

Middle

ELISA

Last Name

REDONDO

Business Name

RAQUEL ELISA REDONDO MD

Original Issue Date

04/13/2016

Effective Date

04/13/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017