RICHARD ORALLO SUAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

ORALLO

Last Name

SUAN

Suffix

Business Name

RICHARD ORALLO SUAN MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

07/31/2008

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008