RODOLFO RODRIGUEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

RODOLFO

Last Name

RODRIGUEZ

Business Name

RODOLFO RODRIGUEZ

Original Issue Date

09/22/2021

Effective Date

09/22/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60632

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

02/04/2025