RAFAEL M RODRIGUEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017654

License Status

EXPIRED

Business

First Name

RAFAEL M

Last Name

RODRIGUEZ

Suffix

Business Name

RAFAEL M RODRIGUEZ MD

Original Issue Date

08/09/1984

Effective Date

08/09/1984

Expiration Date

06/25/1986

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006