JORGE M RODRIGUEZ LARRAIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024997

License Status

EXPIRED

Business

First Name

JORGE M

Last Name

RODRIGUEZ LARRAIN

Business Name

JORGE M RODRIGUEZ LARRAIN

Original Issue Date

05/23/1990

Effective Date

05/23/1990

Expiration Date

06/25/1993

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006