JOSE A RODRIGUEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

JOSE A

Last Name

RODRIGUEZ

Business Name

JOSE A RODRIGUEZ

Original Issue Date

08/29/1988

Effective Date

10/02/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022