GARY O RODRIGUEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067134

License Status

CANCELLED

Business

Title

First Name

GARY

Middle

Last Name

RODRIGUEZ

Business Name

GARY O RODRIGUEZ MD

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2019

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/11/2018