LUIS RAUL RIVERA CRESPO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

Title

First Name

LUIS

Middle

RAUL

Last Name

RIVERA CRESPO

Business Name

LUIS RAUL RIVERA CRESPO MD

Original Issue Date

02/24/2010

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020