ALEXANDRA E RODRIGUEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000189

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

Last Name

RODRIGUEZ

Business Name

ALEXANDRA E RODRIGUEZ

Original Issue Date

07/17/2013

Effective Date

07/29/2013

Expiration Date

07/29/2016

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2017