SOPHIE GRACE RODRIGUES PEREIRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

SOPHIE

Middle

GRACE

Last Name

RODRIGUES PEREIRA

Business Name

SOPHIE GRACE RODRIGUES PEREIRA MD

Original Issue Date

08/26/2021

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

HAZEL CREST

State

Zip

60429

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023