GUILLERMO RODRIGUEZ JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

GUILLERMO

Last Name

RODRIGUEZ JR

Suffix

Business Name

GUILLERMO RODRIGUEZ JR MD

Original Issue Date

06/24/1985

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023