BRYANT HUGO RODRIGUEZ DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

ACTIVE

Business

Title

DMD

First Name

BRYANT

Middle

HUGO

Last Name

RODRIGUEZ

Business Name

BRYANT HUGO RODRIGUEZ DMD

Original Issue Date

07/12/2024

Effective Date

07/12/2024

Expiration Date

09/30/2027

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2024