SERGIO MANUEL RODRIGUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

SERGIO

Middle

MANUEL

Last Name

RODRIGUEZ

Business Name

SERGIO MANUEL RODRIGUEZ MD

Original Issue Date

08/21/2012

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

GREENVILLE

State

Zip

62246

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021