JOSE ROBERTO SANTIAGO RODRIGUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

JOSE

Middle

ROBERTO

Last Name

SANTIAGO RODRIGUEZ

Business Name

JOSE ROBERTO SANTIAGO RODRIGUEZ MD

Original Issue Date

03/05/2020

Effective Date

06/19/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2023