JORGE MARIO RODRIGUEZ FERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

JORGE

Middle

MARIO

Last Name

RODRIGUEZ FERNANDEZ

Business Name

JORGE MARIO RODRIGUEZ FERNANDEZ MD

Original Issue Date

10/04/2018

Effective Date

07/28/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023