REBECCA MARIE LORET DE MOLA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

MARIE

Last Name

LORET DE MOLA

Suffix

Business Name

REBECCA MARIE LORET DE MOLA DO

Original Issue Date

10/16/2007

Effective Date

06/12/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014