THEODORE RODOLFO HARROLD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008254

License Status

ACTIVE

Business

First Name

THEODORE

Middle

RODOLFO

Last Name

HARROLD

Business Name

THEODORE RODOLFO HARROLD

Original Issue Date

03/29/2021

Effective Date

01/08/2026

Expiration Date

03/01/2028

City

ARLINGTON HEIGHTS

State

Zip

60005

Ever Disciplined

LastModifiedDate

01/08/2026