MORAD RAFAEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

CANCELLED

Business

First Name

MORAD

Last Name

RAFAEL

Suffix

Business Name

MORAD RAFAEL MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006