RODOLFO J MEJICANO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

RODOLFO J

Last Name

MEJICANO

Suffix

Business Name

RODOLFO J MEJICANO MD

Original Issue Date

04/28/1989

Effective Date

08/06/2023

Expiration Date

07/31/2026

City

BOURBONNAIS

State

Zip

60914

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/06/2023