PAMELA TERESA VERGARA-RODRIGUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

PAMELA

Middle

TERESA

Last Name

VERGARA-RODRIGUEZ

Business Name

PAMELA TERESA VERGARA-RODRIGUEZ MD

Original Issue Date

06/18/2004

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023