GUSTAVO C RODRIGUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

GUSTAVO

Middle

Last Name

RODRIGUEZ

Suffix

Business Name

GUSTAVO C RODRIGUEZ MD

Original Issue Date

09/18/2001

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023