MARIA D RODRIGUEZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

ACTIVE

Business

First Name

MARIA

Middle

Last Name

RODRIGUEZ

Business Name

MARIA D RODRIGUEZ

Original Issue Date

08/28/2023

Effective Date

06/16/2024

Expiration Date

09/30/2027

City

MUNSTER

State

Zip

46321

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2024