CARLOS ENRIQUE PRADA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

CARLOS

Middle

ENRIQUE

Last Name

PRADA

Business Name

CARLOS ENRIQUE PRADA MD

Original Issue Date

05/21/2021

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023