E RENE RODRIGUEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

E RENE

Last Name

RODRIGUEZ

Business Name

E RENE RODRIGUEZ

Original Issue Date

09/10/1990

Effective Date

09/10/1990

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60162

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020