JOHANA B GIMENEZRODRIGUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

JOHANA

Middle

Last Name

GIMENEZRODRIGUEZ

Business Name

JOHANA B GIMENEZRODRIGUEZ MD

Original Issue Date

03/30/2020

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023