CARLOS RAFAEL GONZALEZ RENDON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

CARLOS

Middle

RAFAEL

Last Name

GONZALEZ RENDON

Business Name

CARLOS RAFAEL GONZALEZ RENDON MD

Original Issue Date

01/16/2014

Effective Date

09/26/2024

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2024