JOSE RAFAEL BALSA GUERRERO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

JOSE

Middle

RAFAEL

Last Name

BALSA GUERRERO

Business Name

JOSE RAFAEL BALSA GUERRERO MD

Original Issue Date

04/03/2021

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023