RONALD CASTILLO TEJADA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

Title

First Name

RONALD

Middle

CASTILLO

Last Name

TEJADA

Suffix

Business Name

RONALD CASTILLO TEJADA JR MD

Original Issue Date

07/10/2012

Effective Date

07/10/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020