ROSAURA LICEA 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

ROSAURA

Last Name

LICEA

Business Name

ROSAURA LICEA

Original Issue Date

08/12/2023

Effective Date

08/12/2023

Expiration Date

07/31/2026

City

CICERO

State

Zip

60804

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2023