RODOLFO AYSON SARMIENTO 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

RODOLFO

Middle

AYSON

Last Name

SARMIENTO

Suffix

Business Name

RODOLFO AYSON SARMIENTO MD

Original Issue Date

10/19/1983

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021