ALFREDO RUMILLA SR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

Title

First Name

ALFREDO

Last Name

RUMILLA

Suffix

Business Name

ALFREDO RUMILLA SR MD

Original Issue Date

01/01/1997

Effective Date

10/05/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2011006377

Action

Suspension

Discipline Start Date

06/24/2016

Discipline Reason

Failure to file and/or pay Illinois state income taxes.