ALEXANDRA E RODRIGUEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

Last Name

RODRIGUEZ

Business Name

ALEXANDRA E RODRIGUEZ

Original Issue Date

10/01/2015

Effective Date

11/04/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025