MANUEL J RODRIGUEZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

ACTIVE

Business

First Name

MANUEL J

Last Name

RODRIGUEZ

Suffix

DDS

Business Name

MANUEL J RODRIGUEZ DDS

Original Issue Date

01/01/1998

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

WAUCONDA

State

Zip

60084

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024