JASON MICHAEL RODRIGUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

Title

First Name

JASON

Middle

MICHAEL

Last Name

RODRIGUEZ

Business Name

JASON MICHAEL RODRIGUEZ MD

Original Issue Date

06/11/2015

Effective Date

04/19/2017

Expiration Date

09/30/2020

City

WESTCHESTER

State

Zip

60154

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021