KEITH RODRIGUEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059014

License Status

CANCELLED

Business

First Name

KEITH

Last Name

RODRIGUEZ

Suffix

Business Name

KEITH RODRIGUEZ MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

02/28/2011