SURRENTHIA R PARKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

SURRENTHIA R

Last Name

PARKER

Suffix

Business Name

SURRENTHIA R PARKER MD

Original Issue Date

09/13/2011

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023