RIA LUZ D PARCELLANO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

RIA

Middle

LUZ D

Last Name

PARCELLANO

Business Name

RIA LUZ D PARCELLANO

Original Issue Date

06/01/2015

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023