JORGE MARIO RODRIGUEZ FERNANDEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068428

License Status

CANCELLED

Business

Title

First Name

JORGE

Middle

MARIO

Last Name

RODRIGUEZ FERNANDEZ

Business Name

JORGE MARIO RODRIGUEZ FERNANDEZ MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/27/2016