STEPHANIE RODRIGUEZ SANTIAGO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065384

License Status

CANCELLED

Business

Title

First Name

STEPHANIE

Last Name

RODRIGUEZ SANTIAGO

Business Name

STEPHANIE RODRIGUEZ SANTIAGO MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

LastModifiedDate

06/16/2014