MATTHEW RODRIGO ENDARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

RODRIGO

Last Name

ENDARA

Business Name

MATTHEW RODRIGO ENDARA MD

Original Issue Date

01/13/2014

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021