VANESSA M RODRIGUEZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

NOT RENEWED

Business

First Name

VANESSA

Middle

Last Name

RODRIGUEZ

Business Name

VANESSA M RODRIGUEZ

Original Issue Date

02/14/2011

Effective Date

02/16/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014