RALPH CHARLES MENEZES 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

RALPH

Middle

CHARLES

Last Name

MENEZES

Suffix

Business Name

RALPH CHARLES MENEZES MD

Original Issue Date

08/19/1996

Effective Date

08/19/1996

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020