RALPH CHARLES MENEZES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

RALPH

Middle

CHARLES

Last Name

MENEZES

Suffix

Business Name

RALPH CHARLES MENEZES MD

Original Issue Date

01/01/1997

Effective Date

08/18/2023

Expiration Date

07/31/2026

City

FOREST PARK

State

Zip

60130

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/18/2023