ABRAHAM R RODRIGUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

First Name

ABRAHAM

Middle

Last Name

RODRIGUEZ

Suffix

Business Name

ABRAHAM R RODRIGUEZ MD

Original Issue Date

08/04/1998

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023