RODOLFO CHOUSSAL-GONZALEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

RODOLFO

Last Name

CHOUSSAL-GONZALEZ

Business Name

RODOLFO CHOUSSAL-GONZALEZ MD

Original Issue Date

08/02/2021

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023