RICARDO PEREZ

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****89

NOT RENEWED

N

RICARDO

PEREZ

RICARDO PEREZ

09/11/2008

05/30/2014

07/31/2017

BERWYN

IL

60402

COOK

PRACTITIONER

II III IV V

Y

04/05/2020

2017004082

Suspension

12/22/2017

06/28/2019