JOSEPH FERNANDO ANTONIO RODRIGUEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062845

License Status

CANCELLED

Business

First Name

JOSEPH

Middle

FERNANDO ANTONIO

Last Name

RODRIGUEZ

Suffix

Business Name

JOSEPH FERNANDO ANTONIO RODRIGUEZ MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

03/24/2014