ROBERTO LUIS DAVILA-DE PEDRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

ROBERTO

Middle

LUIS

Last Name

DAVILA-DE PEDRO

Business Name

ROBERTO LUIS DAVILA-DE PEDRO MD

Original Issue Date

06/07/2016

Effective Date

06/07/2016

Expiration Date

07/31/2017

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017