JERDA M RILEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

JERDA M

Last Name

RILEY

Suffix

Business Name

JERDA M RILEY MD

Original Issue Date

09/14/1988

Effective Date

09/14/1988

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020