MARIO ENRIQUE RODRIGUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039742

License Status

NOT RENEWED

Business

First Name

MARIO ENRIQUE

Last Name

RODRIGUEZ

Suffix

Business Name

MARIO ENRIQUE RODRIGUEZ MD

Original Issue Date

06/16/1965

Effective Date

06/16/1965

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006