AMARILYS RODRIGUEZ DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

AMARILYS

Last Name

RODRIGUEZ

Suffix

DMD

Business Name

AMARILYS RODRIGUEZ DMD

Original Issue Date

06/22/2006

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/04/2009