RAFAEL PIEDRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

RAFAEL

Last Name

PIEDRA

Suffix

Business Name

RAFAEL PIEDRA MD

Original Issue Date

12/17/1982

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021