BEATRIZ M RODRIQUEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

CANCELLED

Business

First Name

BEATRIZ M

Last Name

RODRIQUEZ

Suffix

Business Name

BEATRIZ M RODRIQUEZ MD

Original Issue Date

04/17/1991

Effective Date

04/17/1991

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006