KEITH RODRIGUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131710

License Status

NOT RENEWED

Business

First Name

KEITH

Last Name

RODRIGUEZ

Suffix

Business Name

KEITH RODRIGUEZ MD

Original Issue Date

11/09/2012

Effective Date

11/09/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014