JACK V RODRIQUEZ MD Medical Doctor License verification

JACK V RODRIQUEZ MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061669

License Status

NOT RENEWED

Business

First Name

JACK

Middle

Last Name

RODRIQUEZ

Suffix

Business Name

JACK V RODRIQUEZ MD

Original Issue Date

02/27/1981

Effective Date

09/25/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2019007590

Action

Surrender (Relinquish)

Discipline Start Date

04/01/2021

Discipline Reason

physician and surgeon license permanently relinquished eff 04/01/2021 due to inappropriately prescribing controlled substances to patient of his practice.