OTAVIO PEREIRA RODRIGUES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

Title

First Name

OTAVIO

Last Name

PEREIRA RODRIGUES

Business Name

OTAVIO PEREIRA RODRIGUES MD

Original Issue Date

08/10/2020

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023