RALPH R VELAZQUEZ JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

RALPH R

Last Name

VELAZQUEZ JR

Suffix

Business Name

RALPH R VELAZQUEZ JR MD

Original Issue Date

11/01/1984

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020