FRANCISCO J RODRIGUEZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

FRANCISCO

Middle

Last Name

RODRIGUEZ

Suffix

DDS

Business Name

FRANCISCO J RODRIGUEZ DDS

Original Issue Date

07/16/2004

Effective Date

07/16/2004

Expiration Date

09/30/2006

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/08/2006