GUILLERMO RODRIGUEZ JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

GUILLERMO

Last Name

RODRIGUEZ JR

Suffix

Business Name

GUILLERMO RODRIGUEZ JR MD

Original Issue Date

07/27/2000

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021