ANTONIO F RODRIGUEZ-PERAZZA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

First Name

ANTONIO F

Last Name

RODRIGUEZ-PERAZZA

Business Name

ANTONIO F RODRIGUEZ-PERAZZA

Original Issue Date

04/13/1983

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

ELDORADO

State

Zip

62930

County

WABASH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023