RAYMOND D SANTUCCI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

RAYMOND

Middle

Last Name

SANTUCCI

Suffix

Business Name

RAYMOND D SANTUCCI MD

Original Issue Date

10/16/2002

Effective Date

10/16/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011