CARLOS FREDERICO RODRIGUEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049074

License Status

EXPIRED

Business

Title

First Name

CARLOS

Middle

FREDERICO

Last Name

RODRIGUEZ

Business Name

CARLOS FREDERICO RODRIGUEZ MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

07/31/2008