SERGIO MANUEL RODRIGUEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057170

License Status

CANCELLED

Business

Title

First Name

SERGIO

Middle

MANUEL

Last Name

RODRIGUEZ

Business Name

SERGIO MANUEL RODRIGUEZ MD

Original Issue Date

06/26/2009

Effective Date

06/26/2009

Expiration Date

06/25/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/01/2009