NATALIA AIDA ROQUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

Title

First Name

NATALIA

Middle

AIDA

Last Name

ROQUE

Business Name

NATALIA AIDA ROQUE MD

Original Issue Date

08/31/2023

Effective Date

08/31/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/31/2023