LAREINA RODRIGUEZ PEDRIQUEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053890

License Status

CANCELLED

Business

First Name

LAREINA

Middle

RODRIGUEZ

Last Name

PEDRIQUEZ

Suffix

Business Name

LAREINA RODRIGUEZ PEDRIQUEZ MD

Original Issue Date

06/30/2009

Effective Date

06/30/2009

Expiration Date

01/24/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/11/2009