RICHARD ALEXIS NIEVES SANTIAGO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

RICHARD

Middle

ALEXIS

Last Name

NIEVES SANTIAGO

Business Name

RICHARD ALEXIS NIEVES SANTIAGO MD

Original Issue Date

11/19/2024

Effective Date

11/19/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/19/2024