JACK V RODRIQUEZ MD Medical Doctor License verification

JACK V RODRIQUEZ MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

JACK

Middle

Last Name

RODRIQUEZ

Suffix

Business Name

JACK V RODRIQUEZ MD

Original Issue Date

01/01/1997

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/01/2021

Case Number

2019007590

Action

Surrender (Relinquish)

Discipline Start Date

04/01/2021

Discipline Reason

controlled substance license permanently relinquished eff 04/01/2021 due to inappropriately prescribing controlled substances to patient of his practice.