CARLOS FREDERICO RODRIGUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

Title

First Name

CARLOS

Middle

FREDERICO

Last Name

RODRIGUEZ

Business Name

CARLOS FREDERICO RODRIGUEZ MD

Original Issue Date

07/24/2007

Effective Date

08/14/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017