EDGAR MAURICIO RODRIGUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049645

License Status

NOT RENEWED

Business

First Name

EDGAR MAURICIO

Last Name

RODRIGUEZ

Suffix

Business Name

EDGAR MAURICIO RODRIGUEZ MD

Original Issue Date

08/28/1974

Effective Date

10/03/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011