RAFAEL M RODRIGUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

RAFAEL M

Last Name

RODRIGUEZ

Suffix

Business Name

RAFAEL M RODRIGUEZ MD

Original Issue Date

08/05/1985

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021