RAFAEL M CLAVERIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

RAFAEL M

Last Name

CLAVERIA

Suffix

Business Name

RAFAEL M CLAVERIA MD

Original Issue Date

01/07/1985

Effective Date

06/02/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017